AJAY GUPTA M.D.
NPI 1679542880
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Cleveland, OH
About Ajay Gupta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJAY GUPTA M.D. (NPI 1679542880) is an individual neurology with special qualifications in child neurology provider in Cleveland, Ohio, licensed in Ohio (35.074602) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted 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
Ajay 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ajay Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 177 clinicians in this Medicare group
St. Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Gillette Childrens Specialty Healthcare
- 304 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
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 Ajay Gupta's NPI number?
The NPI number for Ajay Gupta is 1679542880. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is Ajay Gupta located?
Ajay Gupta practices at 9500 Euclid Ave S-51/Neurology, Cleveland Clinic Foundation, Cleveland, OH 44195. The listed phone number is (216) 445-7728.
What is Ajay Gupta's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Ajay Gupta enrolled in Medicare?
Yes. Ajay 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 Ajay Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Gupta reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Cleveland, OH), Ashtabula County Medical Center (Ashtabula, OH) and Gillette Children's Specialty Healthcare (St. Paul, MN). 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 Ajay Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajay Gupta accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Insurance Corporation of Ohio list Ajay 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 Ajay Gupta affiliated with any hospitals?
According to CMS data, Ajay Gupta is affiliated with Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Ajay Gupta was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ajay Gupta, M.D. · NPI 1679542880
Neurology with Special Qualifications in Child Neurology physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1679542880 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 35.074602 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 EUCLID AVE, S-51/NEUROLOGY, CLEVELAND CLINIC FOUNDATION, Cleveland, OH 44195-0001
- **Phone:** (216) 445-7728 · **Fax:** (216) 445-6813
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH); Ashtabula County Medical Center (NPI 1285607416, Ashtabula, OH); Gillette Children's Specialty Healthcare (NPI 1225119175, St. Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** June 10, 2020
- **Other identifiers:** Medicaid 4607536 (CA); Medicaid 2283274 (OH); Medicaid 208406702 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1679542880) · Data from the CMS NPPES public registry.