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DR. PRAMOD RAMKJANAK GUPTA MD
NPI 1942525811
Internal Medicine - Critical Care Medicine in Milwaukee, WI

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Jul 8, 2024, Jun 28, 2024 and 1 more (4 updates tracked since 2016).

About Dr. Pramod Ramkjanak Gupta Md NPPES

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

DR. PRAMOD RAMKJANAK GUPTA MD (NPI 1942525811) is an individual critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (56867) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1942525811
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. PRAMOD RAMKJANAK GUPTACredential: MD
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 649-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 2, 2010
Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1942525811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in WI · 56867
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License 01091000A (IN)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 036-164338 (IL), 56867 (WI)
2900 W OKLAHOMA AVE, Milwaukee, WI 53215
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19200 W Wisconsin Ave, Department of NeurologyMilwaukee, WI 53226-3522 · Phone (414) 805-5200 · Fax (414) 259-0469
Location 211104 Parkview Circle Dr Ste 110Fort Wayne, IN 46845-1673 · Phone (260) 425-6780 · Fax (260) 425-6789
Location 34440 W 95th StOak Lawn, IL 60453-2600 · Phone (303) 436-2727

Other Identifiers 1

Medicaid100034068WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Pramod Ramkjanak 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 ID2365736386
PECOS Enrollment IDI20160812001515, I20230424000135
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.

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.
65 services35 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
42 services42 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.
27 services16 patients
Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes 99447
This is a virtual consultation with a specialist doctor, lasting between 11-20 minutes. It can be done over the phone or online. The physician will assess your health, discuss findings, and provide a written report summarizing the consultation and any recommendations.
26 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services13 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
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.

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

MUHAMMAD AKBAR MD LLC
Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 365-3210
DR. JEFFREY T LYVERS M.D.
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
RANA MOHAMMED AL RUBAYE MD
Hospitalist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
JESSICA MCDOWELL
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-5279
MARA STASIK PA-C
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Milwaukee County (414) 646-2550
SARAH J PARVE NP
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
DR. RILEY MARINELLI PT, DPT
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6011
ASHLEY MARIE ALTER PHARMD
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6930

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 Pramod Gupta's NPI number?

The NPI number for Pramod Gupta is 1942525811. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Pramod Gupta located?

Pramod Gupta practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Pramod Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Pramod Gupta enrolled in Medicare?

Yes. Pramod 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.

What insurance does Pramod Gupta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 5 other insurers list Pramod 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 Pramod Gupta affiliated with any hospitals?

According to CMS data, Pramod Gupta is affiliated with Mercy St Vincent Medical Center, Aurora Lakeland Medical Center, Aurora St Lukes Medical Center, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Pramod Gupta was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.