DR. MRIDUL GUPTA M.B.B.S.
NPI 1760832687
Internal Medicine - Pulmonary Disease in Birmingham, AL

Q: What is Mridul Gupta's NPI number?

The NPI number for Mridul Gupta is 1760832687. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Mridul Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mridul Gupta was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 22, 2016PECOS EnrolledAccepts Medicare Assignment

84.17/100

CMS Quality Rating

619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Jun 22, 2016 (2 updates tracked since 2016).

On this page

About Dr. Mridul Gupta M.b.b.s. NPPES

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

DR. MRIDUL GUPTA M.B.B.S. (NPI 1760832687) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (44265) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760832687

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MRIDUL GUPTACredential: M.B.B.S.

Location Address619 19TH ST SBirmingham, AL 35249-6303

Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701

Phone(205) 934-4011

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 22, 2016

Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration

NPPES CertifiedMay 16, 2023

✔ NPI 1760832687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in AL · 44265

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

619 19TH ST S, Birmingham, AL 35249

Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 996-5864 · Fax (205) 801-8105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Mridul Gupta M.b.b.s. 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 ID42541187

PECOS Enrollment IDI20220912000946

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 13

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.

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

140 services139 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

99 services99 patients

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.

81 services35 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

41 services41 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.

39 services35 patients

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.

34 services33 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.

34 services24 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.

28 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

24 services24 patients

Test to measure expiratory airflow and volume 94010

20 services20 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

19 services19 patients

Test to examine how well the lungs exchange gases 94729

14 services14 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

84.17/100

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

Scored as part of a group practice

Quality

77.1

Promoting Interoperability

100

Improvement Activities

Cost

70.15

Leave this field empty

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.

DR. GARRETT COLBY M.D.

Radiology (Diagnostic Radiology)

619 19TH ST S, JT N342
BIRMINGHAM, AL 35249

Jefferson County (205) 934-3108

SHANA MONIKA MACHADO D.O.

Internal Medicine (Nephrology)