RUCHIRA SENGUPTA MD
NPI 1669813259
Internal Medicine - Critical Care Medicine in Grand Rapids, MI

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 MICHIGAN ST NE # MC031, GRAND RAPIDS, MI 49503(616) 267-8244 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2021, Jul 30, 2019 (2 updates tracked since 2019).

About Ruchira Sengupta Md NPPES

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

RUCHIRA SENGUPTA MD (NPI 1669813259) is an individual critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301117512) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669813259
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameRUCHIRA SENGUPTACredential: MD
Location Address100 MICHIGAN ST NE # MC031Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1669813259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MI · 4301117512
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301103111 (MI)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 4301117512 (MI)
100 MICHIGAN ST NE # MC031, Grand Rapids, MI 49503

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

Ruchira Sengupta 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 ID2668605817
PECOS Enrollment IDI20190718000502
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 5

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.
55 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services25 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.
26 services26 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.
17 services11 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231323
Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County
Emergency services

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers61 claims69 services$16.76 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims24 services$922.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
6 suppliers55 claims55 services$6.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers91 claims100 services$85.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$33.11 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
4 suppliers14 claims1,080 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Gerontology)
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Nurse Practitioner (Acute Care)
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE # MC031
GRAND RAPIDS, MI 49503

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 Ruchira Sengupta's NPI number?

The NPI number for Ruchira Sengupta is 1669813259. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Ruchira Sengupta located?

Ruchira Sengupta practices at 100 Michigan St NE # Mc031, Grand Rapids, MI 49503. The listed phone number is (616) 267-8244.

What is Ruchira Sengupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ruchira Sengupta enrolled in Medicare?

Yes. Ruchira Sengupta 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 Ruchira Sengupta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Ruchira Sengupta 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 Ruchira Sengupta affiliated with any hospitals?

According to CMS data, Ruchira Sengupta is affiliated with Corewell Health Zeeland Hospital, Spectrum Health United Hospital, Spectrum Health, Corewell Health Reed City Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Ruchira Sengupta was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.