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DR. SHELLY GUPTA M.D.
NPI 1609227529
Internal Medicine in Abington, PA

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
1200 OLD YORK RD, ABINGTON, PA 19001(215) 481-2222(215) 481-4361 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2019, Jun 22, 2016 (2 updates tracked since 2016).

About Dr. Shelly Gupta M.d. NPPES

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

DR. SHELLY GUPTA M.D. (NPI 1609227529) is an individual internal medicine provider in Abington, Pennsylvania, licensed in Pennsylvania (MD468455) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609227529
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHELLY GUPTACredential: M.D.
Location Address1200 OLD YORK RDAbington, PA 19001-3720
Mailing Address2500 Maryland Rd Ste 400Willow Grove, PA 19090-1225 · (215) 481-4143 · Fax (215) 481-6790
Phone(215) 481-2222
Fax(215) 481-4361
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 22, 2016
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
✔ NPI 1609227529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD468455
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1200 OLD YORK RD, Abington, PA 19001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dr. Shelly 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 ID8628309713
PECOS Enrollment IDI20191003000893
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 4

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.
120 services61 patients
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.
29 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

DR. SHAILI NEPAL M.D.
Internal Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2191
ANGELA CARRACINO DO
Obstetrics & Gynecology
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2606
MR. KRISHNA CHAUDHARY MD
Internal Medicine
1200 OLD YORK RD, SUITE 2B
ARINGTON, PA 19001
Montgomery County (215) 481-2222
ANDRIY BASHTA
Nurse Practitioner (Acute Care)
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-3145
GRIFFIN JOHNSON MD
Student in an Organized Health Care Education/Training Program
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2000
MEGAN GRIFFITH
Surgery (Vascular Surgery)
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2000
OSMAN KOZAK
Psychiatry & Neurology (Neurology)
1200 OLD YORK RD, 5 TOLL
ABINGTON, PA 19001
Montgomery County (215) 481-3145
DAVID M COMPERATORE MD
Emergency Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-4355

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 Shelly Gupta's NPI number?

The NPI number for Shelly Gupta is 1609227529. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Shelly Gupta located?

Shelly Gupta practices at 1200 Old York Rd, Abington, PA 19001. The listed phone number is (215) 481-2222.

What is Shelly Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shelly Gupta enrolled in Medicare?

Yes. Shelly 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 Shelly Gupta accept?

Health plans from Molina Healthcare list Shelly 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 Shelly Gupta affiliated with any hospitals?

According to CMS data, Shelly Gupta is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Gupta was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.