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SUSHILKUMAR SATISH GUPTA MD
NPI 1750799722
Internal Medicine - Pulmonary Disease in Ithaca, NY

Active since July 23, 2014PECOS EnrolledAccepts Medicare Assignment
201 DATES DR STE 310, ITHACA, NY 14850(267) 368-1169 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2020, Jul 24, 2020, Jun 30, 2020 (3 updates tracked since 2020).

About Sushilkumar Satish Gupta Md NPPES

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

SUSHILKUMAR SATISH GUPTA MD (NPI 1750799722) is an individual pulmonary disease provider in Ithaca, New York, licensed in New Jersey (25MA11662000) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750799722
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSUSHILKUMAR SATISH GUPTACredential: MD
Location Address201 DATES DR STE 310Ithaca, NY 14850-1345
Mailing Address201 Dates Dr Ste 310Ithaca, NY 14850-1345 · (267) 368-1169
Phone(267) 368-1169
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 23, 2014
Last NPPES UpdateJune 26, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1750799722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NJ · 25MA11662000✔ Licensed in NY · 303838
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 300838 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 300838 (NY)
201 DATES DR STE 310, Ithaca, NY 14850
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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

Sushilkumar Satish Gupta Md 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 ID7416294368
PECOS Enrollment IDI20200512002622, I20230504000597, I20250613000306, I20250917001550, I20251016001197, I20260127003612
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 Reassignments

13

Medicare enrollment records show Sushilkumar Satish Gupta reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Schuyler Hospital Inc
18 mi
Internal Medicine
230 STEUBEN STREET
Montour Falls, NY 14865
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1760582142 (607) 535-7154
Nuvoair Medical PC
72 mi
Pulmonary Disease
510 CLINTON SQ
Rochester, NY 14604
  • Reassigned Medicare billing, New York and Arizona enrollments
  • Also billed through NPI 1417688680 (Arizona)
  • 7 clinicians in this Medicare group
NPI 1255018263 (833) 688-6247
Pronto Pulmonary LLC
162 mi
Pulmonary Disease
5 BAKER RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1770451643 (908) 748-4480
St Josephs Medical Group PC
164 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000
Barnabas Health Medical Group PC
173 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Maimonides Medical Center Maimonides Primary Care Fpp
183 mi
Internal Medicine
1250 57TH ST
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 85 clinicians in this Medicare group
NPI 1013968593 (718) 283-7732
Pomerene Hospital
309 mi
Critical Access
981 WOOSTER RD
Millersburg, OH 44654
  • Reassigned Medicare billing, Ohio enrollment
  • 103 clinicians in this Medicare group
NPI 1770957185 (330) 674-1584
Froedtert Manitowoc Medical Group, LLC
572 mi
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
NPI 1437829975 (920) 320-2436
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
591 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
Osf Multi-Specialty Group
689 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
159 services88 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.
89 services59 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.
26 services26 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.
25 services19 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
17 services13 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

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

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number501332
Location1221 Highland AvenueClarkston, WA 99403 · Asotin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers32 claims32 services$39.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers50 claims50 services$94.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers33 claims67 services$36.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims48 services$19.30 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers29 claims101 services$16.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers40 claims41 services$61.22 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

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

DR. MOHAMMAD ABDELRA'UOF SAMIH M.D.
Internal Medicine (Nephrology)
201 DATES DR STE 310
ITHACA, NY 14850
Tompkins County (607) 273-9111

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 Sushilkumar Satish Gupta's NPI number?

The NPI number for Sushilkumar Satish Gupta is 1750799722. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Sushilkumar Satish Gupta located?

Sushilkumar Satish Gupta practices at 201 Dates Dr Ste 310, Ithaca, NY 14850. The listed phone number is (267) 368-1169.

What is Sushilkumar Satish Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sushilkumar Satish Gupta enrolled in Medicare?

Yes. Sushilkumar Satish 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 organizations bill Medicare for Sushilkumar Satish Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushilkumar Satish Gupta reassigns Medicare benefits to 13 organizations: Schuyler Hospital Inc (Montour Falls, NY), Nuvoair Medical PC (Rochester, NY), Pronto Pulmonary LLC (Livingston, NJ), St Josephs Medical Group PC (Paterson, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and 8 more organizations, listed in the Medicare section above. Each 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 Sushilkumar Satish Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushilkumar Satish Gupta accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health and Providence Health Plan list Sushilkumar Satish 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 Sushilkumar Satish Gupta affiliated with any hospitals?

According to CMS data, Sushilkumar Satish Gupta is affiliated with St Joseph Regional Medical Center, Gritman Medical Center, St Joseph's University Medical Center Inc and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sushilkumar Satish Gupta was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.