SUNIL K GUPTA MD
NPI 1699741330
Hospitalist in Corpus Christi, TX

Active since February 23, 2006PECOS Enrolled
25.9/100
CMS Quality Rating
5726 ESPLANADE DR, CORPUS CHRISTI, TX 78414(361) 985-1221 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sunil K Gupta Md NPPES

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

SUNIL K GUPTA MD (NPI 1699741330) is an individual hospitalist provider in Corpus Christi, Texas, licensed in Texas (L9719) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains a secondary practice location in Corpus Christi.

NPPES Registry Identity

NPI1699741330
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSUNIL K GUPTACredential: MD
Location Address5726 ESPLANADE DRCorpus Christi, TX 78414-4165
Mailing AddressPo Box 6696Corpus Christi, TX 78466-6696 · (361) 985-1221
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
NPI 1699741330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · L9719
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 ListedInternal MedicineTaxonomy 207R00000X · License L9719 (TX)
5726 ESPLANADE DR, Corpus Christi, TX 78414

Secondary Practice Location 1

Location 1345 S Water StCorpus Christi, TX 78401-2819 · Phone (361) 985-1221

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 (PECOS)

Sunil K Gupta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648238105
PECOS Enrollment IDI20041230000013
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
2,887 services453 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.
908 services308 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.
376 services330 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
141 services121 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.
99 services68 patients

Hospital Affiliations CMS Care Compare

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78414 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

25.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities0
Cost22.85

Referred Medical Equipment & Supplies CMS DME claims 10

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers13 claims13 services$58.71 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$53.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.51 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers14 claims14 services$48.81 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
2 suppliers33 claims33 services$88.30 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$36.58 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 6

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

Internal Medicine
5726 ESPLANADE DR
CORPUS CHRISTI, TX 78414
Speech-Language Pathologist
5726 ESPLANADE DR
CORPUS CHRISTI, TX 78414
Physical Medicine & Rehabilitation
5726 ESPLANADE DR
CORPUS CHRISTI, TX 78414
Rehabilitation Hospital
5726 ESPLANADE DR
CORPUS CHRISTI, TX 78414
Physical Medicine & Rehabilitation
5726 ESPLANADE DR
CORPUS CHRISTI, TX 78414
Rehabilitation Hospital
5726 ESPLANADE DR
CORPUS CHRISTI, TX 78414

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 Sunil Gupta's NPI number?

The NPI number for Sunil Gupta is 1699741330. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Sunil Gupta located?

Sunil Gupta practices at 5726 Esplanade Dr, Corpus Christi, TX 78414. The listed phone number is (361) 985-1221.

What is Sunil Gupta's specialty?

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

Is Sunil Gupta enrolled in Medicare?

Yes. Sunil Gupta is registered in the Medicare PECOS enrollment system.

What insurance does Sunil Gupta accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Sunil 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 Sunil Gupta affiliated with any hospitals?

According to CMS data, Sunil Gupta is affiliated with Christus Spohn Hospital Corpus Christi.

When was this NPI record last updated?

The NPPES record for Sunil Gupta was last updated on August 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.