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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROHAN GUPTA M.D.
NPI 1811304462
Internal Medicine in Fresno, CA

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
568 E HERNDON AVE STE 102, FRESNO, CA 93720(559) 221-7500 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rohan Gupta M.d. NPPES

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

DR. ROHAN GUPTA M.D. (NPI 1811304462) is an individual internal medicine provider in Fresno, California, licensed in California (A145462) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811304462
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROHAN GUPTACredential: M.D.
Location Address568 E HERNDON AVE STE 102Fresno, CA 93720-2989
Mailing Address568 E Herndon Ave Ste 102Fresno, CA 93720-2989 · (559) 221-7500
Phone(559) 221-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 15, 2014
Last NPPES UpdateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1811304462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A145462
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
568 E HERNDON AVE STE 102, Fresno, CA 93720
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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. Rohan 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 ID3971809930
PECOS Enrollment IDI20170929002761
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 Reassignments

2

Medicare enrollment records show Rohan Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical Partners Group, Inc.
Same address
Internal Medicine
568 E HERNDON AVE STE 102
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1902528441 (559) 221-7500
Community Health Partners
0.4 mi
Multi-Specialty
7257 N FRESNO ST
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 604 clinicians in this Medicare group
NPI 1952912420 (559) 324-4952

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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
120 services114 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.
50 services40 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.
31 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

Other Providers at the Same Location NPPES 2

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

THE MEDICAL PARTNERS GROUP, LLC
Pediatrics
568 E HERNDON AVE STE 102
FRESNO, CA 93720
Fresno County (559) 710-1200
THE MEDICAL PARTNERS GROUP, INC.
Internal Medicine
568 E HERNDON AVE STE 102
FRESNO, CA 93720
Fresno County (559) 221-7500

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 Rohan Gupta's NPI number?

The NPI number for Rohan Gupta is 1811304462. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Rohan Gupta located?

Rohan Gupta practices at 568 E Herndon Ave Ste 102, Fresno, CA 93720. The listed phone number is (559) 221-7500.

What is Rohan Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rohan Gupta enrolled in Medicare?

Yes. Rohan 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 Rohan Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rohan Gupta reassigns Medicare benefits to 2 organizations: The Medical Partners Group, Inc. (Fresno, CA) and Community Health Partners (Fresno, CA). 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 Rohan Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rohan Gupta was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.