PRANAY GUPTA MD
NPI 1982641049
Ophthalmology in Colonial Heights, VA
About Pranay Gupta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRANAY GUPTA MD (NPI 1982641049) is an individual ophthalmology provider in Colonial Heights, Virginia, licensed in Virginia (0101230970) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of University Of Maryland School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Pranay 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 Reassignment
Medicare enrollment records show Pranay Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colonial Heights, VA 23834
- Reassigned Medicare billing, Virginia enrollment
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 12
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John Randolph Medical Center
Acute Care Hospitals · Hopewell, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
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 Pranay Gupta's NPI number?
The NPI number for Pranay Gupta is 1982641049. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Pranay Gupta located?
Pranay Gupta practices at 3660 Boulevard, Colonial Heights, VA 23834. The listed phone number is (804) 243-2020.
What is Pranay Gupta's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Pranay Gupta enrolled in Medicare?
Yes. Pranay 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 organization bills Medicare for Pranay Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pranay Gupta reassigns Medicare benefits to Virginia Eye Specialists PC (Colonial Heights, VA). The 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 Pranay Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pranay Gupta accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Pranay 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 Pranay Gupta affiliated with any hospitals?
According to CMS data, Pranay Gupta is affiliated with John Randolph Medical Center.
When was this NPI record last updated?
The NPPES record for Pranay Gupta was last updated on April 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Pranay Gupta, MD · NPI 1982641049
Ophthalmology physician in Colonial Heights, Virginia. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1982641049 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 0101230970 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3660 BOULEVARD, Colonial Heights, VA 23834-1345
- **Phone:** (804) 243-2020 · **Fax:** (804) 754-1428
## 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:** Virginia Eye Specialists PC (NPI 1215072400, Colonial Heights, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** April 4, 2008
- **Other identifiers:** Medicare PIN 000001V63 (VA); Medicare UPIN H39147 (VA); Medicaid 6304559 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1982641049) · Data from the CMS NPPES public registry.