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DR. SUMIT GUPTA M.D.
NPI 1952311920
Internal Medicine in Wesley Chapel, FL

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
3908 FLATIRON LOOP, SUITE 101, WESLEY CHAPEL, FL 33544(813) 779-6303(888) 977-1998 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sumit Gupta M.d. NPPES

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

DR. SUMIT GUPTA M.D. (NPI 1952311920) is an individual internal medicine provider in Wesley Chapel, Florida, licensed in Florida (ME96187) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1952311920
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUMIT GUPTACredential: M.D.
Location Address3908 FLATIRON LOOP, SUITE 101Wesley Chapel, FL 33544-7828
Mailing Address3908 Flatiron Loop, Suite 101Wesley Chapel, FL 33544-7828 · (813) 779-6303 · Fax (888) 977-1998
Phone(813) 779-6303
Fax(888) 977-1998
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 26, 2016
✔ NPI 1952311920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME96187
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 ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License ME96187 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License ME96187 (FL)
3908 FLATIRON LOOP, Wesley Chapel, FL 33544
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Other Identifiers 3

Medicare PINAG268WFL
Medicare PINAG268XFL
Medicare PINAG268YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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. Sumit 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 ID2163510777
PECOS Enrollment IDI20071115000365
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 10

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 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.
829 services219 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.
262 services112 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.
213 services88 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.
206 services181 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
165 services36 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
101 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33544 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$12.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

KALPESH SURESHBHAI PATEL MD
Internal Medicine
3908 FLATIRON LOOP, SUITE 101
WESLEY CHAPEL, FL 33544
Pasco County (813) 779-6303
JENNIFER PRICHER ARNP
Nurse Practitioner (Family)
3908 FLATIRON LOOP, SUITE 101
WESLEY CHAPEL, FL 33544
Pasco County (813) 779-6303
MRS. DIANA LORING-GREY P.A.-C
Physician Assistant
3908 FLATIRON LOOP, UNIT 101
WESLEY CHAPEL, FL 33544
Pasco County (813) 779-6303

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 Sumit Gupta's NPI number?

The NPI number for Sumit Gupta is 1952311920. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Sumit Gupta located?

Sumit Gupta practices at 3908 Flatiron Loop Suite 101, Wesley Chapel, FL 33544. The listed phone number is (813) 779-6303.

What is Sumit Gupta's specialty?

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

Is Sumit Gupta enrolled in Medicare?

Yes. Sumit 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 Sumit Gupta accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Sumit 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 Sumit Gupta affiliated with any hospitals?

According to CMS data, Sumit Gupta is affiliated with Winter Haven Hospital, Florida Hospital Carrollwood, St Josephs Hospital, Adventhealth Tampa and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Sumit Gupta was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.