DR. AJAY K GUPTA M.D.
NPI 1629026067
Family Medicine in Austin, TX

Q: What is Ajay Gupta's NPI number?

The NPI number for Ajay Gupta is 1629026067. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Ajay Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ajay Gupta was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

4515 SETON CENTER PKWY STE 220, AUSTIN, TX 78759(512) 338-8388(512) 406-6274 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2019, Jan 14, 2019, Mar 31, 2017 (3 updates tracked since 2017).

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About Dr. Ajay K Gupta M.d. NPPES

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

DR. AJAY K GUPTA M.D. (NPI 1629026067) is an individual family medicine provider in Austin, Texas, licensed in Texas (J8562) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Texas Medical School At San Antonio (1994).

NPPES Registry Identity

NPI1629026067

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AJAY K GUPTACredential: M.D.

Location Address4515 SETON CENTER PKWY STE 220Austin, TX 78759

Mailing Address6210 E Us Hwy 290, Ste. 420 - CredentialingAustin, TX 78759-5785 · (512) 338-3826 · Fax (512) 406-6216

Phone(512) 338-8388

Fax(512) 406-6274

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1994

Enumeration DateMay 5, 2006

Last NPPES UpdateMay 8, 20193 updates tracked since enumeration

✔ NPI 1629026067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · J8562

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.

4515 SETON CENTER PKWY STE 220, Austin, TX 78759

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Secondary Practice Location 1

Location 11000 E 41st St, Suite 925Austin, TX 78751-4810 · Phone (512) 978-9940 · Fax (512) 901-9702

Other Identifiers 3

Medicaid124005308TX

Medicaid124005307TX

Other82T248TX · Bcbstx Provider Numb

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Ajay K 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 ID8325067515

PECOS Enrollment IDI20101203000685

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

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 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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 9

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

DR. PRAKASH SAMUEL EAPEN M.D.

Internal Medicine