DR. SUNIL GUPTA M.D., F.A.C.C.
NPI 1508979311
Internal Medicine - Cardiovascular Disease in Zephyrhills, FL

Active since August 16, 2006PECOS Enrolled
38035 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540(813) 788-1400(813) 788-7691 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sunil Gupta M.d., F.a.c.c. NPPES

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

DR. SUNIL GUPTA M.D., F.A.C.C. (NPI 1508979311) is an individual cardiovascular disease provider in Zephyrhills, Florida, licensed in Florida (ME78413) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1508979311
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUNIL GUPTACredential: M.D., F.A.C.C.
Location Address38035 MEDICAL CENTER AVEZephyrhills, FL 33540
Mailing AddressPo Box 2709Zephyrhills, FL 33539-2709 · (813) 788-1400 · Fax (813) 788-7691
Fax(813) 788-7691
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 16, 2006
Last NPPES UpdateMay 17, 2018
NPI 1508979311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME78413
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME78413 (FL)
38035 MEDICAL CENTER AVE, Zephyrhills, FL 33540

Other Identifiers 1

Medicaid257622800FL

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 (PECOS)

Dr. Sunil Gupta M.d., F.a.c.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193777076
PECOS Enrollment IDI20050218000640
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 28

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.

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.
508 services327 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
424 services106 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
263 services253 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.
252 services203 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
208 services203 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
144 services101 patients

Hospital Affiliations CMS Care Compare 5

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100211
Location13100 Ft King RdDade City, FL 33525 · Pasco County

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33540 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,201 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%815 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
97%33 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%52 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
83%708 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
73%2,244 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%708 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%708 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,007 patients
0%1,007 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%708 patients
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.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Cardiovascular Disease)
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Internal Medicine (Interventional Cardiology)
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Physician Assistant
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Internal Medicine (Interventional Cardiology)
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Internal Medicine (Interventional Cardiology)
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Nurse Practitioner
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Physician Assistant (Medical)
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540
Physician Assistant
38035 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 33540

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 Sunil Gupta's NPI number?

The NPI number for Sunil Gupta is 1508979311. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Sunil Gupta located?

Sunil Gupta practices at 38035 Medical Center Ave, Zephyrhills, FL 33540. The listed phone number is (813) 788-1400.

What is Sunil Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sunil Gupta enrolled in Medicare?

Yes. Sunil Gupta is registered in the Medicare PECOS enrollment system.

What insurance does Sunil Gupta accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Health First Commercial Plans, Inc. and 3 other insurers list Sunil 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 Sunil Gupta affiliated with any hospitals?

According to CMS data, Sunil Gupta is affiliated with Florida Hospital Zephyrhills, Lakeland Regional Medical Center, Adventhealth Tampa, Adventhealth Dade City and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Sunil Gupta was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.