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DR. GHANSHYAM GUPTA M.D
NPI 1619089000
Internal Medicine - Gastroenterology in Rockville, MD

Active since August 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 21D2119652 · Certificate of Compliance
75/100
CMS Quality Rating
10110 MOLECULAR DR STE 111, ROCKVILLE, MD 20850(301) 838-4224(301) 838-4244 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2017, Feb 17, 2017 (2 updates tracked since 2017).

About Dr. Ghanshyam Gupta M.d NPPES

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

DR. GHANSHYAM GUPTA M.D (NPI 1619089000) is an individual gastroenterology provider in Rockville, Maryland, licensed in Maryland (D0046398) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through March 12, 2028, and is affiliated with Adventist Healthcare White Oak Medical Center.

NPPES Registry Identity

NPI1619089000
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GHANSHYAM GUPTACredential: M.D
Location Address10110 MOLECULAR DR STE 111Rockville, MD 20850-7538
Mailing AddressPo Box 60410Potomac, MD 20859-0410 · (301) 838-4224 · Fax (301) 838-4244
Phone(301) 838-4224
Fax(301) 838-4244
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 23, 20172 updates tracked since enumeration
✔ NPI 1619089000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D0046398
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10110 MOLECULAR DR STE 111, Rockville, MD 20850
Open in Google Maps ↗

Other Identifiers 4

Medicaid026309900DC
Other53363801MD · Bc.bs.
Medicaid407274000MD
OtherB0750001DC · Bc.bs.

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. Ghanshyam 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 ID6103899364
PECOS Enrollment IDI20050119001093
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D2119652

Ghanshyam Gupta MD · Rockville, MD
Active · expires Mar 12, 2028
CLIA Number21D2119652
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorAnandita A. Datta
Laboratory Phone(301) 838-4224
Laboratory LocationGhanshyam Gupta MD10110 Molecular Drive, Suite 104, Rockville, MD 20850
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 19

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
357 services211 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.
319 services233 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.
260 services245 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.
211 services141 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
199 services190 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
157 services150 patients

Hospital Affiliations CMS Care Compare 2

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

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210016
Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County
Emergency services Birthing friendly

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
5%474 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
3%742 patients1/55-star benchmark: 99%
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.
98%2,078 patients4/55-star benchmark: 100%
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…
75%1,412 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
96%434 patients4/55-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 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$3.90 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,104 services$0.30 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 4

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

MARGAUX GONZALEZ
Physician Assistant
10110 MOLECULAR DR STE 111
ROCKVILLE, MD 20850
Montgomery County (301) 838-4224
BYUNG SOO YOO MD
Internal Medicine (Gastroenterology)
10110 MOLECULAR DR STE 111
ROCKVILLE, MD 20850
Montgomery County (301) 838-4224
BELLE HUANG
Physician Assistant
10110 MOLECULAR DR STE 111
ROCKVILLE, MD 20850
Montgomery County (301) 838-4224
SANJAY AGARWAL, MD LLC
Internal Medicine
10110 MOLECULAR DR STE 111
ROCKVILLE, MD 20850
Montgomery County (551) 206-7821

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 Ghanshyam Gupta's NPI number?

The NPI number for Ghanshyam Gupta is 1619089000. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ghanshyam Gupta located?

Ghanshyam Gupta practices at 10110 Molecular Dr Ste 111, Rockville, MD 20850. The listed phone number is (301) 838-4224.

What is Ghanshyam Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ghanshyam Gupta enrolled in Medicare?

Yes. Ghanshyam 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.

Does Ghanshyam Gupta hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2119652) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ghanshyam Gupta affiliated with any hospitals?

According to CMS data, Ghanshyam Gupta is affiliated with Adventist Healthcare White Oak Medical Center and Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Ghanshyam Gupta was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.