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

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: August 02, 2026.

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

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
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

Accepted 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

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.

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
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.
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

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
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507
Nurse Practitioner (Family)
902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507
Registered Nurse (Oncology)
902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507
Nurse Practitioner (Family)
902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507
Internal Medicine
902 N RIVERSIDE RD STE 200
SAINT JOSEPH, MO 64507

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.

What insurance does Vinay Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 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 21 months 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.