SHIVANI GUPTA
NPI 1740977719
Internal Medicine in Hartford, CT

Active since April 20, 2023PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102(860) 972-0549 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2026, Aug 29, 2023 (2 updates tracked since 2023).

About Shivani Gupta NPPES

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

SHIVANI GUPTA (NPI 1740977719) is an individual internal medicine provider in Hartford, Connecticut, licensed in Connecticut (83799) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740977719
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHIVANI GUPTA
Location Address80 SEYMOUR ST BLDG 502Hartford, CT 06102-8000
Mailing Address80 Seymour St Bldg 502Hartford, CT 06102-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2023
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1740977719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 83799
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
80 SEYMOUR ST BLDG 502, Hartford, CT 06102

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

Shivani Gupta 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 ID7315415148
PECOS Enrollment IDI20260509000181
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.

Medicare Billing Reassignment

Medicare enrollment records show Shivani Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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.

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.

Physician Assistant
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Nurse Practitioner (Acute Care)
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Family Medicine
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Nurse Practitioner
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102

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 Shivani Gupta's NPI number?

The NPI number for Shivani Gupta is 1740977719. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Shivani Gupta located?

Shivani Gupta practices at 80 Seymour St Bldg 502, Hartford, CT 06102. The listed phone number is (860) 972-0549.

What is Shivani Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shivani Gupta enrolled in Medicare?

Yes. Shivani 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 organization bills Medicare for Shivani Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Gupta reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). The 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 Shivani Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shivani Gupta was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.