VIKAS GUPTA MD, PHD
NPI 1740693605
Internal Medicine - Gastroenterology in New Haven, CT

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
40 TEMPLE ST # 1A, NEW HAVEN, CT 06510(203) 785-4138 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2021, Nov 16, 2020, Nov 13, 2020 (3 updates tracked since 2020).

About Vikas Gupta Md, Phd NPPES

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

VIKAS GUPTA MD, PHD (NPI 1740693605) is an individual gastroenterology provider in New Haven, Connecticut, licensed in Connecticut (67373) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1740693605
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVIKAS GUPTACredential: MD, PHD
Location Address40 TEMPLE ST # 1ANew Haven, CT 06510-2715
Mailing AddressWeill Cornell Medicine, 1305 York Ave, 4th FloorNew York, NY 10021 · (646) 962-4000
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2014
Enumeration DateJune 9, 2014
Last NPPES UpdateJune 15, 20213 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1740693605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in CT · 67373 Licensed in NY · 304492-01
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

40 TEMPLE ST # 1A, New Haven, CT 06510

Secondary Practice Locations 2

Location 1Massachusetts General Hospital, 55 Fruit StreetBoston, MA 02114 · Phone (617) 726-2865
Location 2Weill Cornell Medicine, 1305 York Ave, 4th FloorNew York, NY 10021 · Phone (646) 962-4000

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

Vikas Gupta Md, Phd 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 ID3678791142
PECOS Enrollment IDI20210701001217
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services43 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.
49 services21 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.
24 services23 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Gastroenterology)
40 TEMPLE ST # 1A
NEW HAVEN, CT 06510
Internal Medicine (Gastroenterology)
40 TEMPLE ST # 1A
NEW HAVEN, CT 06510

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 Vikas Gupta's NPI number?

The NPI number for Vikas Gupta is 1740693605. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Vikas Gupta located?

Vikas Gupta practices at 40 Temple St # 1A, New Haven, CT 06510. The listed phone number is (203) 785-4138.

What is Vikas Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vikas Gupta enrolled in Medicare?

Yes. Vikas 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.

When was this NPI record last updated?

The NPPES record for Vikas Gupta was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.