Sunil Gupta, M.D.
NPI 1235158031 · Gastroenterology Physician · Carmel, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunil Gupta, M.D. is a Gastroenterology Physician provider in Carmel, NY (NPI 1235158031).
Provider details
- NPI number
- 1235158031
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2059761 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,040 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 750 | $134 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 519 | $17 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 144 | $175 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $90 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 87 | $116 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 417 | 116 |
| Pantoprazole Sodium | 345 | 119 |
| Sucralfate | 181 | 68 |
| Famotidine | 145 | 33 |
| Linaclotidebrand: Linzess | 136 | 26 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 115 | 110 |
| Lubiprostone | 81 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,859 across 119 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Sunil Gupta's NPI number?
- Sunil Gupta's National Provider Identifier (NPI) is 1235158031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunil Gupta's specialty?
- Sunil Gupta is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sunil Gupta located?
- Sunil Gupta's practice location on file with NPPES is 667 Stoneleigh Ave, Carmel, NY 10512-2454.
- What is Sunil Gupta's phone number?
- The practice phone number listed in the NPPES registry for Sunil Gupta is (845) 278-5223.
- Does Sunil Gupta accept Medicare?
- Sunil Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunil Gupta's NPI active?
- Yes — Sunil Gupta's NPI (1235158031) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.