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DR. SWATI K GUPTA M.D.
NPI 1760467351
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
7710 BEECHNUT ST, SUITE 210, HOUSTON, TX 77074(713) 623-6555(713) 623-6569 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Swati K Gupta M.d. NPPES

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

DR. SWATI K GUPTA M.D. (NPI 1760467351) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (L3323) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1760467351
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SWATI K GUPTACredential: M.D.
Location Address7710 BEECHNUT ST, SUITE 210Houston, TX 77074-3100
Mailing Address5934 Garden Hills DrSugar Land, TX 77479-3143 · (713) 623-6555 · Fax (713) 623-6569
Phone(713) 623-6555
Fax(713) 623-6569
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 7, 2005
Last NPPES UpdateOctober 7, 2010
✔ NPI 1760467351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · L3323
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License L3323 (TX)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License L3323 (TX)
7710 BEECHNUT ST, Houston, TX 77074
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Other Identifiers 3

Medicare ID-Type Unspecified8A3586TX · Medicare
Medicare UPINH17578TX
Medicaid150503402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Swati K 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 ID6103856836
PECOS Enrollment IDI20120321000710
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 11

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.
260 services83 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
37 services36 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.
36 services32 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
18 services18 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
18 services18 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%1,274 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%2,303 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%541 patients3/55-star benchmark: 97%
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…
77%460 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 359 patients
Patients tobacco: 86% · 359 patients
44%39 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%540 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
31%541 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
0%540 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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 12

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

ALAN CARL BAUM M.D.
Specialist
7710 BEECHNUT ST, SUITE 100
HOUSTON, TX 77074
Harris County (713) 777-7145
MICHAEL RICHARD KOOP M.D.
Ophthalmology
7710 BEECHNUT ST, SUITE 100
HOUSTON, TX 77074
Harris County (713) 777-7145
NINA JANNETTI D.O.
Optometrist
7710 BEECHNUT ST, SUITE 100
HOUSTON, TX 77074
Harris County (713) 777-7145
KWAN H. UM DDS
Dentist
7710 BEECHNUT ST, SUITE 230
HOUSTON, TX 77074
Harris County (713) 774-7012
DR. KIEU-TRANG CUNG
Dentist
7710 BEECHNUT ST, STE 206
HOUSTON, TX 77074
Harris County (713) 772-4562
DR. CHARLES L. WATSON D.D.S.
Dentist (General Practice)
7710 BEECHNUT ST, STE 230
HOUSTON, TX 77074
Harris County (713) 774-7012
WILLIAM LOUIS DECKER M.D.
Ophthalmology
7710 BEECHNUT ST, SUITE 100
HOUSTON, TX 77074
Harris County (713) 777-7145
SKG HEART CENTER, PLLC
Internal Medicine (Cardiovascular Disease)
7710 BEECHNUT ST, SUITE 210
HOUSTON, TX 77074
Harris County (713) 623-6555

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 Swati Gupta's NPI number?

The NPI number for Swati Gupta is 1760467351. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Swati Gupta located?

Swati Gupta practices at 7710 Beechnut St Suite 210, Houston, TX 77074. The listed phone number is (713) 623-6555.

What is Swati Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Swati Gupta enrolled in Medicare?

Yes. Swati 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 Swati Gupta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Swati 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 Swati Gupta affiliated with any hospitals?

According to CMS data, Swati Gupta is affiliated with Memorial Hermann Hospital System and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Swati Gupta was last updated on October 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.