Sandeepkumar Gupta, M.D.
NPI 1528485729 · Rheumatology Physician · Durham, NC
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandeepkumar Gupta, M.D. is a Rheumatology Physician provider in Durham, NC (NPI 1528485729).
Provider details
- NPI number
- 1528485729
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 81788 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,200 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) |
|---|---|---|
| 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 | 427 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 356 | $119 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 109 | $118 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 106 | $155 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 95 | $65 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 388 | 123 |
| Methotrexate Sodiumbrand: Methotrexate | 283 | 64 |
| Hydroxychloroquine Sulfate | 174 | 47 |
| Allopurinol | 106 | 22 |
| Leflunomide | 95 | 24 |
| Adalimumabbrand: Humira(cf) Pen | 53 | — |
| Meloxicam | 45 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$535 across 10 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 (5)
- 1120 15th StAugusta, GA 30912Phone: (706) 721-8623
- 3000 New Bern AveRaleigh, NC 27610-1231Phone: (919) 350-8000
- University of Tennessee920 Madison Avenue Suite 447Memphis, TN 38163-0001Phone: (901) 448-6605Fax: (901) 448-7265
- 6019 Walnut Grove RdMemphis, TN 38120-2113Phone: (662) 772-2488Fax: (662) 772-2890
- University of Tennessee920 Madison Avenue Suite 447Memphis, TN 38163-0001Phone: (901) 448-6605Fax: (901) 448-7265
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Frequently asked questions
- What is Sandeepkumar Gupta's NPI number?
- Sandeepkumar Gupta's National Provider Identifier (NPI) is 1528485729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandeepkumar Gupta's specialty?
- Sandeepkumar Gupta is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sandeepkumar Gupta located?
- Sandeepkumar Gupta's practice location on file with NPPES is 120 William Penn Plz, Durham, NC 27704-2150.
- What is Sandeepkumar Gupta's phone number?
- The practice phone number listed in the NPPES registry for Sandeepkumar Gupta is (919) 220-5255.
- Does Sandeepkumar Gupta accept Medicare?
- Sandeepkumar Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandeepkumar Gupta's NPI active?
- Yes — Sandeepkumar Gupta's NPI (1528485729) is active in the NPPES registry as of the last update on 2023-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.