ARCHANA GUPTA M.D.
NPI 1609894898
Family Medicine in California, MD

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
22590 SHADY CT, CALIFORNIA, MD 20619(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Archana Gupta M.d. NPPES

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

ARCHANA GUPTA M.D. (NPI 1609894898) is an individual family medicine provider in California, Maryland, licensed in Maryland (S0056261) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1609894898
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameARCHANA GUPTACredential: M.D.
Location Address22590 SHADY CTCalifornia, MD 20619-5009
Mailing AddressPo Box 640Hollywood, MD 20636-0640 · (301) 373-7318 · Fax (301) 373-6900
Fax(301) 373-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
NPI 1609894898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · S0056261
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License D0056261 (MD)
22590 SHADY CT, California, MD 20619

Other Identifiers 2

Medicaid291106000MD
Other080160592MD · Medicare Railroad

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

Archana 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 ID7911190848
PECOS Enrollment IDI20201130001950
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 25

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.
774 services362 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
506 services315 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
279 services236 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
268 services268 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
266 services230 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
253 services215 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20619 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Promoting Interoperability96
Improvement Activities40
Cost74.97

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers30 claims67 services$6.77 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers28 claims28 services$5.61 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
22590 SHADY CT
CALIFORNIA, MD 20619
Internal Medicine (Endocrinology, Diabetes & Metabolism)
22590 SHADY CT
CALIFORNIA, MD 20619
Nurse Practitioner (Family)
22590 SHADY CT
CALIFORNIA, MD 20619
Nurse Practitioner (Family)
22590 SHADY CT
CALIFORNIA, MD 20619
Midwife
22590 SHADY CT
CALIFORNIA, MD 20619
Internal Medicine
22590 SHADY CT
CALIFORNIA, MD 20619
Nurse Practitioner (Family)
22590 SHADY CT
CALIFORNIA, MD 20619
Nurse Practitioner (Psychiatric/Mental Health)
22590 SHADY CT
CALIFORNIA, MD 20619

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 Archana Gupta's NPI number?

The NPI number for Archana Gupta is 1609894898. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Archana Gupta located?

Archana Gupta practices at 22590 Shady Ct, California, MD 20619. The listed phone number is (301) 373-7900.

What is Archana Gupta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Archana Gupta enrolled in Medicare?

Yes. Archana 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.

Is Archana Gupta affiliated with any hospitals?

According to CMS data, Archana Gupta is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Archana Gupta was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.