DR. SANJAY GUPTA M.D.
NPI 1801803523
Surgery - Surgical Critical Care in Lewiston, ME
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
Specialties & Licenses 2
Accepted 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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sanjay Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashua, NH 03060
- Reassigned Medicare billing, New Hampshire enrollment
- 386 clinicians in this Medicare group
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1538194980 (Massachusetts)
- 1,841 clinicians in this Medicare group
Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Sanjay Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Gupta reassigns Medicare benefits to 3 organizations: St Joseph Hospital Of Nashua Nh (Nashua, NH), Lahey Clinic, Inc (Peabody, MA) and Coastal Medical Associates (Weymouth, MA). Each 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 Sanjay Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjay Gupta accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Taro Health 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 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.
# Dr. Sanjay Gupta, M.D. · NPI 1801803523
Surgical Critical Care physician in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1801803523 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 249981 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 HIGH ST, STE 401, Lewiston, ME 04240-7676
- **Phone:** (207) 795-5767 · **Fax:** (207) 795-2732
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Joseph Hospital Of Nashua Nh (NPI 1093787384, Nashua, NH); Lahey Clinic, Inc (NPI 1063447316, Peabody, MA); Coastal Medical Associates (NPI 1932175684, Weymouth, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** August 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801803523) · Data from the CMS NPPES public registry.