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DR. NIRAJ GUPTA MD
NPI 1790717510
Internal Medicine - Hematology & Oncology in Carmel, IN

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
12188B N MERIDIAN ST STE 260, CARMEL, IN 46032(765) 775-2800(765) 471-5461 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Aug 18, 2022, Mar 10, 2022 (3 updates tracked since 2022).

About Dr. Niraj Gupta Md NPPES

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

DR. NIRAJ GUPTA MD (NPI 1790717510) is an individual hematology & oncology provider in Carmel, Indiana, licensed in Indiana (01062714A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crawfordsville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790717510
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. NIRAJ GUPTACredential: MD
Location Address12188B N MERIDIAN ST STE 260Carmel, IN 46032-4840
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(765) 775-2800
Fax(765) 471-5461
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
✔ NPI 1790717510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in IN · 01062714A✔ Licensed in OR · MD 23423
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01062714A (IN)
12188B N MERIDIAN ST STE 260, Carmel, IN 46032
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Secondary Practice Locations 2

Location 16820 Parkdale Pl, Suite 200Indianapolis, IN 46254-6601 · Phone (317) 329-7430 · Fax (317) 329-7485
Location 21706 Lafayette RdCrawfordsville, IN 47933-1033 · Phone (765) 775-2800 · Fax (765) 471-5461

Other Identifiers 1

Medicaid200835670IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Niraj 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 ID840394805
PECOS Enrollment IDI20070330000374
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 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 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.
355 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
222 services170 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.
62 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Crawfordsville

Acute Care Hospitals · Crawfordsville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150022
Location1710 Lafayette RdCrawfordsville, IN 47933 · Montgomery County
Emergency services

Witham Health Services

Acute Care Hospitals · Lebanon, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150104
Location2605 N Lebanon StLebanon, IN 46052 · Boone County
Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Williamsport

Critical Access Hospitals · Williamsport, IN
OwnershipVoluntary non-profit - Church
CMS Certification Number151307
Location412 N Monroe StWilliamsport, IN 47993 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier12 claims2,160 services$0.34 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Niraj Gupta's NPI number?

The NPI number for Niraj Gupta is 1790717510. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Niraj Gupta located?

Niraj Gupta practices at 12188B N Meridian St Ste 260, Carmel, IN 46032. The listed phone number is (765) 775-2800.

What is Niraj Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Niraj Gupta enrolled in Medicare?

Yes. Niraj 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 Niraj Gupta accept?

Health plans from CareSource list Niraj 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 Niraj Gupta affiliated with any hospitals?

According to CMS data, Niraj Gupta is affiliated with Franciscan Health Crawfordsville, Witham Health Services, Franciscan Health Lafayette, Franciscan Health Indianapolis and Ascension St Vincent Williamsport.

When was this NPI record last updated?

The NPPES record for Niraj Gupta was last updated on March 8, 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.