DR. PRAMOD RAMKJANAK GUPTA MD
NPI 1942525811
Internal Medicine - Critical Care Medicine in Milwaukee, WI
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
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 1
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Pramod Gupta reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 690 clinicians in this Medicare group
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Medical Group, LLC
- 2,998 clinicians in this Medicare group
Jacksonville, NC 28546
- Reassigned Medicare billing, North Carolina enrollment
- 710 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.
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.
Hospital Affiliations CMS Care Compare 4
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, OHAurora Lakeland Medical Center
Acute Care Hospitals · Elkhorn, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIAurora Medical Center - Summit
Acute Care Hospitals · Summit, WIPhysician 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.
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.
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.
Which organizations bill Medicare for Pramod Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pramod Gupta reassigns Medicare benefits to 6 organizations: Aurora Medical Group, Inc. (Milwaukee, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Lutheran General Hospital (Park Ridge, IL), Mercy Health Physicians North Specialty Care LLC (Toledo, OH), Novant Medical Group Inc (Jefferson, NC) and 1 more organization, listed in the Medicare section above. 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 Pramod Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pramod Gupta accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Texas, CareSource and CareSource (Common Ground Healthcare) and 2 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 and Aurora Medical Center - Summit.
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 22 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.
# Dr. Pramod Ramkjanak Gupta, MD · NPI 1942525811
Critical Care Medicine physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 2, 2010.
## Identity
- **NPI:** 1942525811 (Entity type: Individual)
- **Enumerated:** April 2, 2010
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 56867 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 W OKLAHOMA AVE, Milwaukee, WI 53215-4330
- **Phone:** (414) 649-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Lutheran General Hospital (NPI 1801809306, Park Ridge, IL); Mercy Health Physicians North Specialty Care LLC (NPI 1306468418, Toledo, OH); Novant Medical Group Inc (NPI 1952739450, Jefferson, NC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 20, 2024
- **Other identifiers:** Medicaid 100034068 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1942525811) · Data from the CMS NPPES public registry.