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GARIMA GUPTA M.D.
NPI 1679009575
Internal Medicine - Hematology & Oncology in Birmingham, AL

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
2000 6TH AVE S FL 5, BIRMINGHAM, AL 35233(205) 996-2873 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Jul 24, 2023, Jul 8, 2020 and 1 more (4 updates tracked since 2017).

About Garima Gupta M.d. NPPES

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

GARIMA GUPTA M.D. (NPI 1679009575) is an individual hematology & oncology provider in Birmingham, Alabama, licensed in Alabama (MD.46780) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679009575
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameGARIMA GUPTACredential: M.D.
Location Address2000 6TH AVE S FL 5Birmingham, AL 35233-2110
Mailing Address1720 2nd Ave S Np 2563Birmingham, AL 35249-3300
Phone(205) 996-2873
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 11, 2017
Last NPPES UpdateJanuary 31, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1679009575 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 AL · MD.46780✔ Licensed in AL · 46780
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.
2000 6TH AVE S FL 5, Birmingham, AL 35233
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Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35233-1900 · Phone (205) 801-8259 · Fax (205) 801-8444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Garima 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 ID3375967748
PECOS Enrollment IDI20230921001245
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.

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.
62 services19 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.
27 services27 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 3

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

DR. ADAM SETH BAUMGARTEN M.D.
Urology
2000 6TH AVE S FL 5
BIRMINGHAM, AL 35233
Jefferson County (205) 996-8765
SRAVANTI RANGARAJU MBBS
Internal Medicine (Hematology & Oncology)
2000 6TH AVE S FL 5
BIRMINGHAM, AL 35233
Jefferson County (205) 801-9304
MISS CAROLINE CORDELL FNP
Nurse Practitioner (Family)
2000 6TH AVE S FL 5
BIRMINGHAM, AL 35233
Jefferson County (205) 996-2873

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 Garima Gupta's NPI number?

The NPI number for Garima Gupta is 1679009575. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Garima Gupta located?

Garima Gupta practices at 2000 6th Ave S Fl 5, Birmingham, AL 35233. The listed phone number is (205) 996-2873.

What is Garima Gupta's specialty?

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

Is Garima Gupta enrolled in Medicare?

Yes. Garima 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 Garima Gupta accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Garima 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.

When was this NPI record last updated?

The NPPES record for Garima Gupta was last updated on January 31, 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.