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NEIL GUPTA M.D.
NPI 1639514656
Hospitalist in New Haven, CT

Active since May 03, 2013PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
20 YORK ST, CB-2041, NEW HAVEN, CT 06510(203) 688-4748(203) 688-4740 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2016, Dec 26, 2015 (2 updates tracked since 2015).

About Neil Gupta M.d. NPPES

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

NEIL GUPTA M.D. (NPI 1639514656) is an individual hospitalist provider in New Haven, Connecticut, licensed in Connecticut (55027) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2013).

NPPES Registry Identity

NPI1639514656
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNEIL GUPTACredential: M.D.
Location Address20 YORK ST, CB-2041New Haven, CT 06510-3220
Mailing Address20 York St, Cb-2041New Haven, CT 06510-3220 · (203) 688-4748 · Fax (203) 688-4740
Phone(203) 688-4748
Fax(203) 688-4740
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2013
Enumeration DateMay 3, 2013
Last NPPES UpdateNovember 21, 20162 updates tracked since enumeration
✔ NPI 1639514656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 55027
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK ST, CB-2041, New Haven, CT 06510
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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

Neil 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 ID6204138274
PECOS Enrollment IDI20160812001726
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 3

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 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.
38 services19 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.
35 services17 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MRS. LISA A MANCA PA-C
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
JARA DAWN-KYUNG PRATHER-CHEN PA-C
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
SARAH PALLESCHI PA-C
Physician Assistant (Medical)
20 YORK ST, CB-2041, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
MARC DANIEL MUSCO PA-C
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
ERIC BERGMAN MPAS08-AMC
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
ROBERT FOGERTY
Hospitalist
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
RYAN J DONOVAN PA-C
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
ALEXANDER B PINE MD, PHD
Hospitalist
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748

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 Neil Gupta's NPI number?

The NPI number for Neil Gupta is 1639514656. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Neil Gupta located?

Neil Gupta practices at 20 York St, Cb-2041, New Haven, CT 06510. The listed phone number is (203) 688-4748.

What is Neil Gupta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Neil Gupta enrolled in Medicare?

Yes. Neil 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.

When was this NPI record last updated?

The NPPES record for Neil Gupta was last updated on November 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.