VINAY GUPTA MD
NPI 1629224357
Internal Medicine - Hematology & Oncology in Saint Joseph, MO

Q: What is Vinay Gupta's NPI number?

The NPI number for Vinay Gupta is 1629224357. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Q: What is Vinay Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Vinay Gupta was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 13, 2008PECOS EnrolledAccepts Medicare Assignment

77.28/100

CMS Quality Rating

902 N RIVERSIDE RD STE 200, SAINT JOSEPH, MO 64507(816) 271-1301(816) 271-1302 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Apr 1, 2024, Nov 15, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Vinay Gupta Md NPPES

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

VINAY GUPTA MD (NPI 1629224357) is an individual hematology & oncology provider in Saint Joseph, Missouri, licensed in Missouri (2016015076) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Hiawatha Community Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1629224357

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameVINAY GUPTACredential: MD

Location Address902 N RIVERSIDE RD STE 200Saint Joseph, MO 64507-2566

Mailing Address5301 Faraon St Ste 120Saint Joseph, MO 64506-3512 · (816) 271-1301 · Fax (816) 271-1302

Phone(816) 271-1301

Fax(816) 271-1302

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 13, 2008

Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1629224357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in MO · 2016015076✔ Licensed in KS · 04-39031

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

902 N RIVERSIDE RD STE 200, Saint Joseph, MO 64507

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vinay Gupta Md 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 ID2466627013

PECOS Enrollment IDI20160613002080, I20160613002371

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.

Medicare Billing Reassignments

Medicare enrollment records show Vinay Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heartland Regional Medical Center

0.3 mi

General Practice

5325 FARAON ST
Saint Joseph, MO 64506

Reassigned Medicare billing, Kansas and Missouri enrollments
22 clinicians in this Medicare group

NPI 1477575405 (816) 271-6000

Mosaic Medical Center - Maryville

40 mi

Specialist

2016 S MAIN ST
Maryville, MO 64468

Reassigned Medicare billing, Missouri enrollment
341 clinicians in this Medicare group

NPI 1184189797 (660) 562-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

894 services340 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

303 services168 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

193 services72 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.

159 services59 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

89 services78 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.

77 services74 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.

72 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

59 services59 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.

41 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

27 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

26 services22 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.

26 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

18 services18 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.

17 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Hiawatha Community Hospital

Critical Access Hospitals · Hiawatha, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number171341

Location300 Utah StreetHiawatha, KS 66434 · Brown County

Emergency services Birthing friendly

Amberwell Atchison Association

Critical Access Hospitals · Atchison, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171382

Location800 Raven Hill DriveAtchison, KS 66002 · Atchison County

Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260006

Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County

Emergency services Birthing friendly

Mosaic Medical Center Albany

Critical Access Hospitals · Albany, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261328

Location705 N College StreetAlbany, MO 64402 · Gentry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64507 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

$161.24 typical visit price

range $52.28 – $161.24

Typical copayment $40.31 (range $13.07 – $40.31)

Most-billed visit code 99205

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

77.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.71

Promoting Interoperability

100

Improvement Activities

Cost

50.58

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.

ASHLEY MICHELLE LUEDTKE LCSW, LSCSW

Social Worker (Clinical)

902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507

Buchanan County (816) 271-1301

MIRANDA AKERS FNP

Nurse Practitioner (Family)

902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507

Buchanan County (816) 271-1301

MRS. KYRSTEN VERONICA ZIEMANN

Nurse Practitioner (Family)

902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507

Buchanan County (816) 271-1301

MRS. ANNA MARIE STRUEBY APRN

Nurse Practitioner (Family)

902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507

Buchanan County (816) 271-1301

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 Vinay Gupta's NPI number?

The NPI number for Vinay Gupta is 1629224357. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Vinay Gupta located?

Vinay Gupta practices at 902 N Riverside Rd Ste 200, Saint Joseph, MO 64507. The listed phone number is (816) 271-1301.

What is Vinay Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vinay Gupta enrolled in Medicare?

Yes. Vinay 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.

Which organizations bill Medicare for Vinay Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vinay Gupta reassigns Medicare benefits to 2 organizations: Heartland Regional Medical Center (Saint Joseph, MO) and Mosaic Medical Center - Maryville (Maryville, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vinay Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vinay Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Vinay 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 Vinay Gupta affiliated with any hospitals?

According to CMS data, Vinay Gupta is affiliated with Hiawatha Community Hospital, Amberwell Atchison Association, Mosaic Life Care At St Joseph and Mosaic Medical Center Albany.

When was this NPI record last updated?

The NPPES record for Vinay Gupta was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.