DR. SUMMIT GUPTA M.D.
NPI 1942485321
Internal Medicine in Rockville, MD

Q: What is Summit Gupta's NPI number?

The NPI number for Summit Gupta is 1942485321. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Q: What is Summit Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Summit Gupta was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 04, 2008PECOS EnrolledAccepts Medicare Assignment

137 BULLARD CIR, ROCKVILLE, MD 20850(290) 321-9575 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Sep 12, 2025, Jul 7, 2025 and 1 more (4 updates tracked since 2024).

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About Dr. Summit Gupta M.d. NPPES

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

DR. SUMMIT GUPTA M.D. (NPI 1942485321) is an individual internal medicine provider in Rockville, Maryland, licensed in Maryland (D0068890) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942485321

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SUMMIT GUPTACredential: M.D.

Location Address137 BULLARD CIRRockville, MD 20850-3816

Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223

Phone(290) 321-9575

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 4, 2008

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1942485321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MD · D0068890✔ Licensed in VA · 0101244962

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.

Also ListedHospitalistTaxonomy 208M00000X · License MD432933 (PA)

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License D0068890 (MD)

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License D0068890 (MD)

137 BULLARD CIR, Rockville, MD 20850

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Secondary Practice Locations 2

Location 1962 Wayne Ave Ste 250Silver Spring, MD 20910-4433 · Phone (551) 295-8223

Location 239 V St NEWashington, DC 20002-1329 · Phone (551) 295-8223

Other Identifiers 6

Medicaid0248100-00MD

Medicaid1022457110002PA

Medicaid102245711 0003-LOWERPA

Other2082417PA · Highmark Blue Shield

Other3582382000PA · Keystone Health Plan East

OtherP00688341-MERCERNJ · Railroad Medicare

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. Summit 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 ID6406931674

PECOS Enrollment IDI20090904000294, I20110107000257

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 21

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

869 services130 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

605 services131 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

464 services164 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

439 services350 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

350 services150 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

240 services237 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

214 services75 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

184 services73 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

169 services135 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

152 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

146 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

143 services45 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

116 services19 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

100 services34 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

91 services31 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

71 services71 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

67 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

64 services15 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

39 services33 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

4 suppliers22 claims2,080 services$0.10 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021