DR. SURENDRA KUMAR GUPTA MD
NPI 1629056338
Internal Medicine - Nephrology in Jackson Heights, NY

Q: What is Surendra Gupta's NPI number?

The NPI number for Surendra Gupta is 1629056338. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Q: What is Surendra Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Surendra Gupta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 03, 2006PECOS Enrolled

3435 70TH ST, JACKSON HEIGHTS, NY 11372(718) 651-9700(718) 533-0264 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Surendra Kumar Gupta Md NPPES

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

DR. SURENDRA KUMAR GUPTA MD (NPI 1629056338) is an individual nephrology provider in Jackson Heights, New York, licensed in New York (113450) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629056338

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SURENDRA KUMAR GUPTACredential: MD

Location Address3435 70TH STJackson Heights, NY 11372-1055

Mailing Address1 Hemlock LnRoslyn Heights, NY 11577-2703 · (516) 621-4296 · Fax (718) 533-0264

Phone(718) 651-9700

Fax(718) 533-0264

Sole ProprietorYes

Enumeration DateJanuary 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629056338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 113450

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3435 70TH ST, Jackson Heights, NY 11372

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Other Identifiers 3

Medicare ID-Type Unspecified01001INY

Medicaid00206111NY

Medicare UPINC67105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Surendra Kumar Gupta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

315 services72 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 13

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

MS. LOTIS GAY PERILLA EDANO APRN, NP-C

Nurse Practitioner (Family)

3435 70TH ST
JACKSON HTS, NY 11372

Queens County (718) 533-0264

DHARMESHKUMAR VALLABHBHAI SUTARIYA MD

Internal Medicine (Nephrology)

3435 70TH ST, QUEENS ARTIFICIAL KIDNEY CENTER
JACKSON HEIGHTS, NY 11372

Queens County (718) 651-9700

R.P.P., INC.

Psychologist (Clinical)