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DR. RANJAN GUPTA M.D.
NPI 1861833154
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mishawaka, IN

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 208, MISHAWAKA, IN 46545(574) 335-6000(574) 335-0738 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2026, Aug 18, 2020 (2 updates tracked since 2020).

About Dr. Ranjan Gupta M.d. NPPES

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

DR. RANJAN GUPTA M.D. (NPI 1861833154) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mishawaka, Indiana, licensed in Indiana (01099771A) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861833154
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. RANJAN GUPTACredential: M.D.
Location Address611 E DOUGLAS RD STE 208Mishawaka, IN 46545-1465
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469 · (574) 335-8707 · Fax (574) 335-0741
Phone(574) 335-6000
Fax(574) 335-0738
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 15, 2013
Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1861833154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IN · 01099771A
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
611 E DOUGLAS RD STE 208, Mishawaka, IN 46545
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1111 Central AveNewark, NJ 07102-1909 · Phone (973) 877-5641 · Fax (973) 877-2718
Location 2350 BoulevardPassaic, NJ 07055-2840 · Phone (973) 365-4567 · Fax (973) 916-5262
Location 316 Pocono Rd Ste 100Denville, NJ 07834-2905 · Phone (973) 784-6888 · Fax (973) 784-6899

Other Identifiers 1

Medicaid300130657IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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. Ranjan 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 ID4587080494
PECOS Enrollment IDI20231206002331
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

3

Medicare enrollment records show Ranjan Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Joseph Regional Medical Center, Inc.
6.2 mi
Family Medicine
60101 BODNAR BLVD STE 100B
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1467406074 (574) 335-8500
Internal Medicine Of Morris County LLC
605 mi
Internal Medicine
195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1568570489 (973) 366-6060
Prime Healthcare Services - Saint Clare's LLC
611 mi
General Acute Care Hospital
25 POCONO RD
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
NPI 1497134274 (973) 625-6000

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.
42 services35 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.
28 services14 patients
Diagnostic exam of lung airway using an endoscope 31622
This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.
15 services15 patients
Incision of windpipe for insertion of breathing tube (older than 2 years) 31600
This procedure, called a tracheostomy, involves creating an opening in the neck to reach the windpipe. A tube is then inserted to help with breathing. It's typically done when there's an obstruction or difficulty breathing through the mouth or nose.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 7

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

EVONNE HIGDON NP
Nurse Practitioner
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. HARSHA SANTHESHIVARA NAGARAJARAO M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. SACHIN R. PATEL M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. PRAVIN PRATAP M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
FEI LU MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
MARIE ANTOINETTE KENNEDY
Nurse Practitioner
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6000
JANEY LYNNE HARDESTY FNP
Nurse Practitioner (Family)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700

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 Ranjan Gupta's NPI number?

The NPI number for Ranjan Gupta is 1861833154. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Ranjan Gupta located?

Ranjan Gupta practices at 611 E Douglas Rd Ste 208, Mishawaka, IN 46545. The listed phone number is (574) 335-6000.

What is Ranjan Gupta's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ranjan Gupta enrolled in Medicare?

Yes. Ranjan 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 Ranjan Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ranjan Gupta reassigns Medicare benefits to 3 organizations: Saint Joseph Regional Medical Center, Inc. (Mishawaka, IN), Internal Medicine Of Morris County LLC (Mine Hill, NJ) and Prime Healthcare Services - Saint Clare's LLC (Denville, NJ). 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 Ranjan Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ranjan Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, CareSource and Oscar Health list Ranjan 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.

Is Ranjan Gupta affiliated with any hospitals?

According to CMS data, Ranjan Gupta is affiliated with St Mary's General Hospital, Saint Clare's Hospital/ Denville Campus and Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Ranjan Gupta was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.