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DR. SANJAY GUPTA M.D.
NPI 1801803523
Surgery - Surgical Critical Care in Lewiston, ME

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
12 HIGH ST, STE 401, LEWISTON, ME 04240(207) 795-5767(207) 795-2732 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Nov 29, 2021 (2 updates tracked since 2021).

About Dr. Sanjay Gupta M.d. NPPES

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

DR. SANJAY GUPTA M.D. (NPI 1801803523) is an individual surgical critical care provider in Lewiston, Maine, licensed in Massachusetts (249981) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1801803523
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. SANJAY GUPTACredential: M.D.
Location Address12 HIGH ST, STE 401Lewiston, ME 04240-7676
Mailing Address12 High St, Ste 401Lewiston, ME 04240-7676 · (207) 795-5767 · Fax (207) 795-2732
Phone(207) 795-5767
Fax(207) 795-2732
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1801803523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in MA · 249981
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 017630 (ME)
12 HIGH ST, Lewiston, ME 04240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Sanjay 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 ID6608870225
PECOS Enrollment IDI20120214000598
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 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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

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. NORRIS K LEE MD, FACS
Otolaryngology
12 HIGH ST, STE 102
LEWISTON, ME 04240
Androscoggin County (207) 784-4539
DAVID J BURKE MD
Surgery (Trauma Surgery)
12 HIGH ST, STE. 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
SIERRA FERREIRA PHARMD
Pharmacist
12 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-7177
WILLIAM LEE
Internal Medicine
12 HIGH ST, STE 400
LEWISTON, ME 04240
Androscoggin County (207) 795-5700
REBECCA KOERTING PA-C
Physician Assistant
12 HIGH ST, STE. 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
DR. BENJAMIN FRANKLIN LOUNSBURY M.D.
Otolaryngology
12 HIGH ST, STE. 102
LEWISTON, ME 04240
Androscoggin County (207) 784-4539
KATHLEEN S BAIN M.D.
Pediatrics
12 HIGH ST, STE 301
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
DR. MICHAEL K TING M.D.
Obstetrics & Gynecology
12 HIGH ST, SUITE 200
LEWISTON, ME 04240
Androscoggin County (207) 795-5770

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 Sanjay Gupta's NPI number?

The NPI number for Sanjay Gupta is 1801803523. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Sanjay Gupta located?

Sanjay Gupta practices at 12 High St Ste 401, Lewiston, ME 04240. The listed phone number is (207) 795-5767.

What is Sanjay Gupta's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Sanjay Gupta enrolled in Medicare?

Yes. Sanjay 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 Sanjay Gupta accept?

Health plans from Medica list Sanjay 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.

When was this NPI record last updated?

The NPPES record for Sanjay Gupta was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.