SANDEEP K GUPTA (MD) – Pediatric Gastroenterology Physician, NPI 1154436616

SANDEEP K GUPTA (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 01041280A (IN). The NPI Number for SANDEEP K GUPTA (MD) is 1154436616

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
SANDEEP K GUPTA (MD)
NPI
1154436616
Phone
(317) 944-3774
Address
705 Riley Hospital Dr
Enumeration Date
21 August 2006
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059759925
Graduation Year
1986 (40 years ago)
PAC ID
5890779631
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20230228001724
Address ID
AL352331711BI1600XSXXX400

Contacts

Secure Messaging
sgupta@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

448 GASTROENTEROLOGY in IN

Provider Addresses for SANDEEP K GUPTA (MD)

  • 705 Riley Hospital Dr

    ROC 4210

    Indianapolis, IN 462025109

    Phone: (317) 944-3774

    Fax: (317) 944-8521

    Type: Location

  • 1600 7TH AVE S

    BIRMINGHAM, AL 352331711

    Phone: (205) 638-9918

    Type: Location

  • Indianapolis, Marion County, Indiana, United States

    INDIANAPOLIS, IN 462061026

    Phone: (317) 777-6435

    Fax: (317) 777-6644

    Type: Mailing

  • Riley Hospital for Children, 705, Riley Hospital Drive, Indianapolis, Marion, Indiana, 46202, United States

    ROC 4210

    INDIANAPOLIS, IN 462025109

    Phone: (317) 944-3774

    Fax: (317) 944-8521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $16,066.

Total Amount is formed as General ($16,066) + Research ($0) + Ownership ($0) = $16,066.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: GENZYME CORPORATION ($5,586).

Total Amount

$16,066

General + Research + Ownership

Payments

24

Total payment records

General Amount

$16,066

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-02-28

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
I20230228001724IGastroenterologyALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46202)

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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: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

What number should I use to identify SANDEEP K GUPTA (MD) for billing?
Administrative and clinical systems typically use NPI 1154436616 for SANDEEP K GUPTA (MD).
Does the public listing show SANDEEP K GUPTA (MD) as active?
SANDEEP K GUPTA (MD)'s NPI record reflects an active status in NPPES.
What does the directory say SANDEEP K GUPTA (MD) does?
Insurance directories may phrase it differently, but here SANDEEP K GUPTA (MD) maps to Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SANDEEP K GUPTA (MD)?
SANDEEP K GUPTA (MD) is associated with Indianapolis, Indiana in the same public data insurers reference.
Why is information missing for SANDEEP K GUPTA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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