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DR. SIMHADRI M GUPTA MD
NPI 1760483895
Psychiatry & Neurology - Neurology in Edison, NJ

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
2 LINCOLN HWY, SUITE 302, EDISON, NJ 08820(732) 421-8422 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Simhadri M Gupta Md NPPES

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

DR. SIMHADRI M GUPTA MD (NPI 1760483895) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MA06573700) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1760483895
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SIMHADRI M GUPTACredential: MD
Location Address2 LINCOLN HWY, SUITE 302Edison, NJ 08820-3961
Mailing AddressPo Box 897Piscataway, NJ 08855-0897 · (732) 421-8422
Phone(732) 421-8422
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 27, 2008
✔ NPI 1760483895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA06573700
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2 LINCOLN HWY, Edison, NJ 08820
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Secondary Practice Location 1

Location 12 Lincoln Hwy, Suite 302Edison, NJ 08820-3961 · Phone (732) 421-8422

Other Identifiers 2

Medicare UPINF74866NJ
Medicare ID-Type Unspecified051387UX9NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter 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

Dr. Simhadri M 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 ID5890691190
PECOS Enrollment IDI20031209000167
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 Simhadri Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Simhadri M Gupta MD LLC
0.4 mi
Neurology
2 LINCOLN HWY, SUITE 302
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1982659223 (732) 421-8422

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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
141 services66 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.
66 services41 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
53 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
47 services47 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
31 services30 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

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.
90%1,188 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
89%109 patients4/55-star benchmark: 100%
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.
16%225 patients1/55-star benchmark: 100%
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…
33%493 patients2/55-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 tobacco: 96% · 306 patients
97%306 patients
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…
4%226 patients1/55-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…
1%226 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 244 patients
0%244 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 16

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

GENERAL NEUROLOGY AND HEADACHE DISORDERS, P.A.
Clinic/Center (Medical Specialty)
2 LINCOLN HWY, SUITE 509
EDISON, NJ 08820
Middlesex County (732) 767-1500
CARDIOVASCULAR CONSULTANTS, PA
Specialist
2 LINCOLN HWY, SUITE 410
EDISON, NJ 08820
Middlesex County (732) 318-6858
TIE-BO FU MD
Anesthesiology
2 LINCOLN HWY, SUITE 500
EDISON, NJ 08820
Middlesex County (732) 494-1444
ACA ACUPUNCTURE NJ GROUP
Specialist
2 LINCOLN HWY, SUITE 311A
EDISON, NJ 08820
Middlesex County (732) 515-9889
DR. RICARDO A. CALVO M.D.
Specialist
2 LINCOLN HWY, SUITE 410
EDISON, NJ 08820
Middlesex County (732) 318-6858
EDISON DENTAL 27 PC
Dentist (General Practice)
2 LINCOLN HWY, STE 400
EDISON, NJ 08820
Middlesex County (732) 906-8883
MEND PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 LINCOLN HWY, 501
EDISON, NJ 08820
Middlesex County (732) 549-7470
SHENGPING ZOU, MD, LLC
Pain Medicine (Interventional Pain Medicine)
2 LINCOLN HWY, 109
EDISON, NJ 08820
Middlesex County (732) 494-9111

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 Simhadri Gupta's NPI number?

The NPI number for Simhadri Gupta is 1760483895. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Simhadri Gupta located?

Simhadri Gupta practices at 2 Lincoln Hwy Suite 302, Edison, NJ 08820. The listed phone number is (732) 421-8422.

What is Simhadri Gupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Simhadri Gupta enrolled in Medicare?

Yes. Simhadri 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 Simhadri Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simhadri Gupta reassigns Medicare benefits to Simhadri M Gupta MD LLC (Edison, 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 Simhadri Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simhadri Gupta accept?

Health plans from Ambetter Health list Simhadri 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 Simhadri Gupta affiliated with any hospitals?

According to CMS data, Simhadri Gupta is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Simhadri Gupta was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.