VIKRAM GUPTA M.D.
NPI 1750538609
Family Medicine in Clifton, NJ

Q: What is Vikram Gupta's NPI number?

The NPI number for Vikram Gupta is 1750538609. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Q: What is Vikram Gupta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vikram Gupta was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

246 CLIFTON AVE STE 4, CLIFTON, NJ 07011(973) 330-6765(973) 939-8489 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Vikram Gupta M.d. NPPES

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

VIKRAM GUPTA M.D. (NPI 1750538609) is an individual family medicine provider in Clifton, New Jersey, licensed in New Jersey (25MA08471700) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1750538609

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameVIKRAM GUPTACredential: M.D.

Location Address246 CLIFTON AVE STE 4Clifton, NJ 07011-1953

Mailing AddressPo Box 3399Wayne, NJ 07474-3399 · (973) 330-6765 · Fax (973) 939-8489

Phone(973) 330-6765

Fax(973) 939-8489

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 22, 2008

Last NPPES UpdateOctober 2, 2012

✔ NPI 1750538609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA08471700

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 25MA08471700 (NJ)

246 CLIFTON AVE STE 4, Clifton, NJ 07011

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Vikram 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 ID42371809

PECOS Enrollment IDI20081211000595

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 Vikram Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gmed Healthcare PC

1.4 mi

Family Medicine

842 CLIFTON AVE
Clifton, NJ 07013

Reassigned Medicare billing, New Jersey enrollment
5 clinicians in this Medicare group

NPI 1508169160 (973) 330-6765

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 16

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 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.

856 services251 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

584 services100 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

282 services95 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

178 services97 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

100 services51 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

99 services99 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

94 services94 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.

84 services79 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

78 services78 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

61 services60 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

47 services47 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

38 services38 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

28 services28 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

21 services21 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

20 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

23 suppliers120 claims210 services$5.55 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers64 claims69 services$0.93 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 suppliers19 claims19 services$59.15 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$29.17 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 4

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

MS. SHARON LEELA PATIBANDLA PHYSICIAN ASSISTANT

Physician Assistant (Medical)

246 CLIFTON AVE STE 4
CLIFTON, NJ 07011

Passaic County (973) 928-2715

EMANUEL LOPEZ APN

Nurse Practitioner (Family)

246 CLIFTON AVE STE 4
CLIFTON, NJ 07011

Passaic County (973) 928-2715

EMILY J. VALDEZ PA-C

Physician Assistant

246 CLIFTON AVE STE 4
CLIFTON, NJ 07011

Passaic County (973) 928-2715

LAURA VANESSA HERRERA PA-C

Physician Assistant

246 CLIFTON AVE STE 4
CLIFTON, NJ 07011

Passaic County (973) 928-2715

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 Vikram Gupta's NPI number?

The NPI number for Vikram Gupta is 1750538609. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Vikram Gupta located?

Vikram Gupta practices at 246 Clifton Ave Ste 4, Clifton, NJ 07011. The listed phone number is (973) 330-6765.

What is Vikram Gupta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vikram Gupta enrolled in Medicare?

Yes. Vikram 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 Vikram Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikram Gupta reassigns Medicare benefits to Gmed Healthcare PC (Clifton, NJ). 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 Vikram Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikram Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Vikram 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 Vikram Gupta affiliated with any hospitals?

According to CMS data, Vikram Gupta is affiliated with Hackensack University Medical Center, St Joseph's University Medical Center Inc and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Vikram Gupta was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.