SANDEEP GUPTA M.D.
NPI 1720055379
Internal Medicine - Clinical Cardiac Electrophysiology in Middletown, OH

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
103 MCKNIGHT DR, SUITE A, MIDDLETOWN, OH 45044(513) 217-6400(513) 217-6037 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandeep Gupta M.d. NPPES

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

SANDEEP GUPTA M.D. (NPI 1720055379) is an individual clinical cardiac electrophysiology provider in Middletown, Ohio, licensed in Ohio (35072259) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1720055379
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameSANDEEP GUPTACredential: M.D.
Location Address103 MCKNIGHT DR, SUITE AMiddletown, OH 45044-4890
Mailing Address103 Mcknight Dr, Suite AMiddletown, OH 45044-4890 · (513) 217-6400 · Fax (513) 217-6037
Fax(513) 217-6037
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 2, 2006
Last NPPES UpdateNovember 21, 2016
NPI 1720055379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in OH · 35072259
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35072259 (OH)
103 MCKNIGHT DR, Middletown, OH 45044

Other Identifiers 7

Other208679830028OH · Caresource
Other283835OH · Amerigroup
Medicaid2027989OH
Other000000522400OH · Anthem Bcbs
OtherGU4106315OH · Medicare (ohio) Individual Npi
Medicare UPINF66429
Other2027989OH · Molina Healthcare

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

Sandeep 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 ID9739157330
PECOS Enrollment IDI20040921001290
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 34

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
1,263 services381 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
784 services238 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.
519 services387 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
483 services146 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
482 services146 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
343 services294 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45044 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
29%366 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%729 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%795 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
39%236 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Interventional Cardiology)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044
Internal Medicine (Cardiovascular Disease)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044
Nurse Practitioner (Acute Care)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044
Nurse Practitioner (Acute Care)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044
Internal Medicine (Cardiovascular Disease)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044
Internal Medicine (Interventional Cardiology)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044
Nurse Practitioner (Acute Care)
103 MCKNIGHT DR, SUITE A
MIDDLETOWN, OH 45044

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 Sandeep Gupta's NPI number?

The NPI number for Sandeep Gupta is 1720055379. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Sandeep Gupta located?

Sandeep Gupta practices at 103 Mcknight Dr Suite A, Middletown, OH 45044. The listed phone number is (513) 217-6400.

What is Sandeep Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Sandeep Gupta enrolled in Medicare?

Yes. Sandeep 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 Sandeep Gupta accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Sandeep 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 Sandeep Gupta affiliated with any hospitals?

According to CMS data, Sandeep Gupta is affiliated with Miami Valley Hospital, Atrium Medical Center and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Gupta was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.