DR. VARSHA GUPTA M.D.
NPI 1558895532
Internal Medicine - Hematology & Oncology in Buffalo, NY

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON ST, BUFFALO, NY 14263(726) 845-2300(716) 845-3549 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 10, 2023, Apr 17, 2017 (2 updates tracked since 2017).

About Dr. Varsha Gupta M.d. NPPES

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

DR. VARSHA GUPTA M.D. (NPI 1558895532) is an individual hematology & oncology provider in Buffalo, New York, licensed in New York (322578) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Neptune.

NPPES Registry Identity

NPI1558895532
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. VARSHA GUPTACredential: M.D.
Location AddressELM AND CARLTON STBuffalo, NY 14263-0001
Mailing Address1945 State Route 33Neptune, NJ 07754 · (732) 776-4483 · Fax (732) 776-4798
Fax(716) 845-3549
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 17, 2017
Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1558895532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 322578
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
ELM AND CARLTON ST, Buffalo, NY 14263

Secondary Practice Location 1

Location 11945 State Route 33Neptune, NJ 07754 · Phone (732) 776-4483 · Fax (732) 776-4798

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Varsha 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 ID9931561727
PECOS Enrollment IDI20230810001944, I20260708004797
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Varsha Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
ELM AND CARLTON ST
Buffalo, NY 14263
  • Reassigned Medicare billing, New York enrollment
  • 602 clinicians in this Medicare group
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
107 services51 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.
72 services54 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Physician Assistant
ELM AND CARLTON ST
BUFFALO, NY 14263
Dentist
ELM AND CARLTON ST
BUFFALO, NY 14263
Family Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Practitioner (Family)
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Practitioner (Acute Care)
ELM AND CARLTON ST
BUFFALO, NY 14263
Pharmacist
ELM AND CARLTON ST
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Internal Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263

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 Varsha Gupta's NPI number?

The NPI number for Varsha Gupta is 1558895532. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Varsha Gupta located?

Varsha Gupta practices at Elm And Carlton St, Buffalo, NY 14263. The listed phone number is (726) 845-2300.

What is Varsha Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Varsha Gupta enrolled in Medicare?

Yes. Varsha 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.

Which organizations bill Medicare for Varsha Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Varsha Gupta reassigns Medicare benefits to 2 organizations: Roswell Park Cancer Institute (Buffalo, NY) and University Medical Associates (Mt Pleasant, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Varsha Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Varsha Gupta accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Varsha 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 Varsha Gupta affiliated with any hospitals?

According to CMS data, Varsha Gupta is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Varsha Gupta was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.