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

AKSHAYA KUMAR GUPTA MD
NPI 1811519358
Ophthalmology in Houston, TX

Active since May 07, 2020PECOS Enrolled
2855 GRAMERCY ST, HOUSTON, TX 77025(713) 668-6828 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Nov 12, 2024, May 7, 2020 (3 updates tracked since 2020).

About Akshaya Kumar Gupta Md NPPES

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

AKSHAYA KUMAR GUPTA MD (NPI 1811519358) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (W1169) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2020).

NPPES Registry Identity

NPI1811519358
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameAKSHAYA KUMAR GUPTACredential: MD
Location Address2855 GRAMERCY STHouston, TX 77025-1756
Mailing Address2855 Gramercy St Ste 400Houston, TX 77025-1756 · (713) 668-6828
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2020
Enumeration DateMay 7, 2020
Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1811519358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · W1169
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2855 GRAMERCY ST, Houston, TX 77025

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

Akshaya Kumar 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 ID2961823794
PECOS Enrollment IDI20251007001320
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 Akshaya Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Ophthalmology
2855 GRAMERCY ST
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
Ophthalmology
1305 YORK AVE, 11TH FLOOR
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 14 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77025 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
2855 GRAMERCY ST
HOUSTON, TX 77025
Anesthesiology
2855 GRAMERCY ST
HOUSTON, TX 77025
Ophthalmology
2855 GRAMERCY ST
HOUSTON, TX 77025
Ophthalmology
2855 GRAMERCY ST
HOUSTON, TX 77025
Ophthalmology
2855 GRAMERCY ST
HOUSTON, TX 77025
Ophthalmology
2855 GRAMERCY ST
HOUSTON, TX 77025
Ophthalmology
2855 GRAMERCY ST
HOUSTON, TX 77025
Durable Medical Equipment & Medical Supplies
2855 GRAMERCY ST
HOUSTON, TX 77025

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 Akshaya Gupta's NPI number?

The NPI number for Akshaya Gupta is 1811519358. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Akshaya Gupta located?

Akshaya Gupta practices at 2855 Gramercy St, Houston, TX 77025. The listed phone number is (713) 668-6828.

What is Akshaya Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Akshaya Gupta enrolled in Medicare?

Yes. Akshaya 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 Akshaya Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akshaya Gupta reassigns Medicare benefits to 2 organizations: Hea Clinic PA (Houston, TX) and Weill Medical College Of Cornell (New York, NY). 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 Akshaya Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akshaya Gupta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Akshaya 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 Akshaya Gupta was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.