DR. MALLIKA GUPTA MD
NPI 1821431669
Internal Medicine - Nephrology in Kansas City, KS

Q: What is Mallika Gupta's NPI number?

The NPI number for Mallika Gupta is 1821431669. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Q: What is Mallika Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Mallika Gupta was last updated on November 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment

91.89/100

CMS Quality Rating

3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-3961(913) 588-3867 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2019, Sep 23, 2019 (2 updates tracked since 2019).

On this page

About Dr. Mallika Gupta Md NPPES

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

DR. MALLIKA GUPTA MD (NPI 1821431669) is an individual nephrology provider in Kansas City, Kansas, licensed in Kansas (04-42736) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1821431669

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. MALLIKA GUPTACredential: MD

Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500

Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-3961 · Fax (913) 588-3867

Phone(913) 588-3961

Fax(913) 588-3867

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 11, 2013

Last NPPES UpdateNovember 21, 20192 updates tracked since enumeration

✔ NPI 1821431669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in KS · 04-42736

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3901 RAINBOW BLVD, Kansas City, KS 66160

Open in Google Maps ↗

Secondary Practice Location 1

Location 12411 Holmes Street, UMKC School of MedicineKansas City, MO 64108-3220 · Phone (816) 932-2107

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and more.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. Mallika 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 ID2567684798

PECOS Enrollment IDI20200102002600

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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

216 services87 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.

80 services39 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.

63 services25 patients

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.

26 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

23 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Kansas Health System - St Francis Campus

Acute Care Hospitals · Topeka, KS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170016

Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County

Emergency services Birthing friendly

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170049

Location20333 West 151st StreetOlathe, KS 66061 · Johnson County

Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170086

Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County

Emergency services Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170137

Location325 Maine StreetLawrence, KS 66044 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

91.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

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

Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg J2545

DME-Drugs Administered Through DME · category DG000N

1 supplier15 claims15 services$95.47 avg. paid by Medicare

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

5 suppliers152 claims74,464 services$1.19 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

28 suppliers526 claims54,633 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

8 suppliers203 claims32,885 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers89 claims7,740 services$0.18 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

14 suppliers366 claims45,982 services$0.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

MRS. KELLI DOUGLAS M.A. CCC-SLP

Speech-Language Pathologist