Gautam Gupta
NPI 1356728869 · Internal Medicine Physician · Passaic, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gautam Gupta is a Internal Medicine Physician provider in Passaic, NJ (NPI 1356728869).
Provider details
- NPI number
- 1356728869
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
780 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 553 | $125 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 94 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 79 | $83 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 54 | $183 |
Typical Medicare-allowed amounts for these services range $83–$183 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 40 | 37 |
| Atorvastatin Calcium | 33 | 28 |
| Amlodipine Besylate | 25 | 14 |
| Metoprolol Succinate | 21 | 15 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 18 | 13 |
| Gabapentin | 18 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$119 across 11 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
Additional practice locations (3)
- 17716 Phelps Hill LnDerwood, MD 20855Phone: (301) 740-3192
- 1122 53rd St Apt 507North Bergen, NJ 07047-3158Phone: (240) 408-6889
- 1715 US Highway 46 Apt 463Parsippany, NJ 07054-2976Phone: (240) 408-6889
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2021-03-26
- Certified
- 2021-03-12
Frequently asked questions
- What is Gautam Gupta's NPI number?
- Gautam Gupta's National Provider Identifier (NPI) is 1356728869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gautam Gupta's specialty?
- Gautam Gupta is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gautam Gupta located?
- Gautam Gupta's practice location on file with NPPES is 350 Boulevard, Passaic, NJ 07055-2840.
- What is Gautam Gupta's phone number?
- The practice phone number listed in the NPPES registry for Gautam Gupta is (973) 365-4000.
- Does Gautam Gupta accept Medicare?
- Gautam Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gautam Gupta's NPI active?
- Yes — Gautam Gupta's NPI (1356728869) is active in the NPPES registry as of the last update on 2021-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.