ADITYA GUPTA M.D.
NPI 1497755615
Internal Medicine - Critical Care Medicine in Scottsdale, AZ

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
69.37/100
CMS Quality Rating
9060 E VIA LINDA STE 250, SCOTTSDALE, AZ 85258(480) 614-2000(480) 614-1751 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Mar 22, 2018 (2 updates tracked since 2018).

About Aditya Gupta M.d. NPPES

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

ADITYA GUPTA M.D. (NPI 1497755615) is an individual critical care medicine provider in Scottsdale, Arizona, licensed in Arizona (49819) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1497755615
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameADITYA GUPTACredential: M.D.
Location Address9060 E VIA LINDA STE 250Scottsdale, AZ 85258-5425
Mailing Address9060 E Via Linda Ste 250Scottsdale, AZ 85258-5425 · (480) 614-2000 · Fax (480) 614-1751
Fax(480) 614-1751
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 29, 2005
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1497755615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in AZ · 49819
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 49819 (AZ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 49819 (AZ)
9060 E VIA LINDA STE 250, Scottsdale, AZ 85258

Other Identifiers 1

Medicaid042286AZ

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

Aditya 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 ID5890766810
PECOS Enrollment IDI20150326000836
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 23

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
751 services363 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.
596 services416 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
544 services285 patients
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.
371 services273 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
185 services163 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
168 services121 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85258 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

69.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.72
Promoting Interoperability55
Improvement Activities40
Cost71.59

Reported Quality Measures

Controlling High Blood Pressure
79%158 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%37 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%1,531 patients4/55-star benchmark: 100%
e-Prescribing
86%431 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%607 patients4/55-star benchmark: 100%
HIV Screening
0%358 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%1,008 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
45%950 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers271 claims271 services$32.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers123 claims123 services$69.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers125 claims327 services$27.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers126 claims648 services$16.15 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers77 claims392 services$12.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers226 claims226 services$44.53 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 (Critical Care Medicine)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Internal Medicine (Infectious Disease)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Internal Medicine (Critical Care Medicine)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Internal Medicine (Pulmonary Disease)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Internal Medicine (Rheumatology)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Nurse Practitioner (Family)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Internal Medicine (Critical Care Medicine)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258
Anesthesiology (Critical Care Medicine)
9060 E VIA LINDA STE 250
SCOTTSDALE, AZ 85258

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 Aditya Gupta's NPI number?

The NPI number for Aditya Gupta is 1497755615. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Aditya Gupta located?

Aditya Gupta practices at 9060 E Via Linda Ste 250, Scottsdale, AZ 85258. The listed phone number is (480) 614-2000.

What is Aditya Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Aditya Gupta enrolled in Medicare?

Yes. Aditya 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 Aditya Gupta accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Aditya 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.

When was this NPI record last updated?

The NPPES record for Aditya Gupta was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.