SANJEEV K GUPTA M.D.
NPI 1457560443
Urology in Coconut Creek, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
14.85/100
CMS Quality Rating
4515 WILES RD STE 201, COCONUT CREEK, FL 33073(954) 943-1133(954) 783-6845 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Dec 6, 2023, Nov 5, 2022 (3 updates tracked since 2022).

About Sanjeev K Gupta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJEEV K GUPTA M.D. (NPI 1457560443) is an individual urology provider in Coconut Creek, Florida, licensed in Florida (ME105426) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1457560443
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSANJEEV K GUPTACredential: M.D.
Location Address4515 WILES RD STE 201Coconut Creek, FL 33073-3414
Mailing Address5258 Linton Blvd Ste 203Delray Beach, FL 33484-6529 · (561) 495-7570 · Fax (561) 496-7074
Fax(954) 783-6845
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2003
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1457560443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in FL · ME105426 Licensed in IA · 37691
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4515 WILES RD STE 201, Coconut Creek, FL 33073

Secondary Practice Locations 5

Location 1333 NW 70th Ave Ste 206Plantation, FL 33317-2300 · Phone (954) 943-1133 · Fax (954) 783-6845
Location 2601 E Sample Rd Ste 105Deerfield Beach, FL 33064-4443 · Phone (954) 943-1133 · Fax (954) 783-6845
Location 31930 NE 47th St Ste 308Fort Lauderdale, FL 33308-7729 · Phone (954) 943-1133 · Fax (954) 783-6845
Location 45258 Linton Blvd Ste 203Delray Beach, FL 33484-6529 · Phone (561) 495-7570 · Fax (561) 496-7074
Location 55258 Linton Blvd Ste 103Delray Beach, FL 33484-6564 · Phone (561) 495-7570 · Fax (561) 496-7074

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sanjeev K Gupta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638243736
PECOS Enrollment IDI20121221000232
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,545 services592 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
1,159 services636 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
922 services569 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
814 services479 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
563 services418 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
499 services368 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Broward Health North

Acute Care Hospitals · Pompano Beach, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100086
Location201 E Sample RdPompano Beach, FL 33064 · Broward County
Emergency services

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

14.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost49.51

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers38 claims11,550 services$1.73 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$3.81 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
2 suppliers11 claims2,160 services$6.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Otolaryngology
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Urology
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Urology
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Pain Medicine (Interventional Pain Medicine)
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Otolaryngology
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Nurse Practitioner (Family)
4515 WILES RD STE 201
COCONUT CREEK, FL 33073
Orthopaedic Surgery
4515 WILES RD STE 201
COCONUT CREEK, FL 33073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjeev Gupta's NPI number?

The NPI number for Sanjeev Gupta is 1457560443. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Sanjeev Gupta located?

Sanjeev Gupta practices at 4515 Wiles Rd Ste 201, Coconut Creek, FL 33073. The listed phone number is (954) 943-1133.

What is Sanjeev Gupta's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sanjeev Gupta enrolled in Medicare?

Yes. Sanjeev Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sanjeev Gupta accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Sanjeev Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sanjeev Gupta affiliated with any hospitals?

According to CMS data, Sanjeev Gupta is affiliated with Bethesda Hospital Inc, Broward Health North, Boca Raton Regional Hospital, Delray Medical Center and West Boca Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjeev Gupta was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.