UJJWAL GUPTA (M.D.) – Internal Medicine Physician, NPI 1770815292

UJJWAL GUPTA (M.D.) is a healthcare provider. based in Hartford, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD17611 (ME). The NPI Number for UJJWAL GUPTA (M.D.) is 1770815292

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
UJJWAL GUPTA (M.D.)
NPI
1770815292
Phone
(860) 972-0549
Address
80 SEYMOUR ST BLDG SUITE502
Enumeration Date
9 February 2010
Last Update Date
19 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609720549
Graduation Year
2006 (20 years ago)
PAC ID
2567610330
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20151008002021
Address ID
CT061028000HA80XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

Provider Addresses for UJJWAL GUPTA (M.D.)

  • 80 SEYMOUR ST BLDG SUITE502

    HARTFORD, CT 061028000

    Phone: (860) 972-0549

    Type: Mailing

  • 194 E Main St

    Fort Kent, ME 047431428

    Phone: (207) 834-1411

    Fax: (207) 834-2949

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($27).

Total Amount

$93

General + Research + Ownership

Payments

4

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151008002021IInternal MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes252144$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes13374$0
99238Hospital discharge day management, 30 minutes or less8584$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4847$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 06102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173866241View full group profile
NameSpecialtyState
-CT
Physical Medicine And RehabilitationCT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
Physician AssistantCT
P O D I A T R YCT
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

Does UJJWAL GUPTA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — UJJWAL GUPTA (M.D.) uses 1770815292.
Can I rely on UJJWAL GUPTA (M.D.) being an active provider?
As of the registry snapshot, UJJWAL GUPTA (M.D.) is marked active.
What is UJJWAL GUPTA (M.D.)'s specialty?
The listing groups UJJWAL GUPTA (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect UJJWAL GUPTA (M.D.) on a map?
Expect Hartford, Connecticut as a primary anchor for UJJWAL GUPTA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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