Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ARUN KUMAR GUPTA M.D.
NPI 1962444802
Internal Medicine - Cardiovascular Disease in Merrick, NY

Active since June 12, 2006PECOS Enrolled
78.27/100
CMS Quality Rating
1703 MERRICK AVE, MERRICK, NY 11566(516) 378-3311(516) 546-1517 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arun Kumar Gupta M.d. NPPES

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

DR. ARUN KUMAR GUPTA M.D. (NPI 1962444802) is an individual cardiovascular disease provider in Merrick, New York, licensed in New York (161794) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1962444802
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ARUN KUMAR GUPTACredential: M.D.
Location Address1703 MERRICK AVEMerrick, NY 11566-1628
Mailing Address1703 Merrick AveMerrick, NY 11566-1628 · (516) 378-3311 · Fax (516) 546-1517
Fax(516) 546-1517
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1962444802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 161794
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1703 MERRICK AVE, Merrick, NY 11566

Other Identifiers 1

Medicaid00970076NY

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. Arun Kumar 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 ID2961531777
PECOS Enrollment IDI20100603000214
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 17

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.

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.
1,560 services358 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,173 services354 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.
508 services223 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
315 services183 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
210 services206 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
105 services105 patients

Hospital Affiliations CMS Care Compare

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.99
Promoting Interoperability95
Improvement Activities40
Cost44.74

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
11%114 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
53%553 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
80%496 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
46%318 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
15%130 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
58%130 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%4,337 patients4/55-star benchmark: 100%
e-Prescribing
98%2,235 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
72%963 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%1,024 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 49% · 818 patients
48%818 patients
Provide Patients Electronic Access to Their Health Information
61%641 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%606 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 634 patients
Patients totalRate: 3% · 639 patients
3%639 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.06 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 7

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

Nurse Practitioner (Family)
1703 MERRICK AVE
MERRICK, NY 11566
Internal Medicine
1703 MERRICK AVE
MERRICK, NY 11566
Clinic/Center (Ambulatory Surgical)
1703 MERRICK AVE
MERRICK, NY 11566
Physician Assistant
1703 MERRICK AVE
MERRICK, NY 11566
Clinic/Center (Ambulatory Surgical)
1703 MERRICK AVE
MERRICK, NY 11566
Physician Assistant
1703 MERRICK AVE
MERRICK, NY 11566
Internal Medicine (Gastroenterology)
1703 MERRICK AVE
MERRICK, NY 11566

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 Arun Gupta's NPI number?

The NPI number for Arun Gupta is 1962444802. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Arun Gupta located?

Arun Gupta practices at 1703 Merrick Ave, Merrick, NY 11566. The listed phone number is (516) 378-3311.

What is Arun Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Arun Gupta enrolled in Medicare?

Yes. Arun 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.

Is Arun Gupta affiliated with any hospitals?

According to CMS data, Arun Gupta is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Arun Gupta was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.