DR. ANJALI GUPTA (MD) – Internal Medicine Physician, NPI 1922265123

DR. ANJALI GUPTA (MD) is a healthcare provider. based in Fergus falls, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 53015 (MN). The NPI Number for DR. ANJALI GUPTA (MD) is 1922265123

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANJALI GUPTA (MD)
NPI
1922265123
Phone
(218) 736-8000
Address
712 S CASCADE ST
Enumeration Date
16 May 2008
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042024243
Graduation Year
1999 (27 years ago)
PAC ID
2860687977
Group Practice PAC ID
0244480531
Professional Enrollment ID
I20220921003647
Address ID
FL320816152PO98XXXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

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Provider Addresses for DR. ANJALI GUPTA (MD)

  • Lake Region Healthcare, 712, South Cascade Street, Downtown, Fergus Falls, Otter Tail County, Minnesota, 56537, United States

    FERGUS FALLS, MN 565372913

    Phone: (218) 736-8000

    Fax: (218) 739-6718

    Type: Mailing

  • 841 PRUDENTIAL DR STE 180

    JACKSONVILLE, FL 322078350

    Phone: (904) 202-4243

    Fax: (904) 202-4639

    Type: Location

  • 98 NOCATEE VILLAGE DR

    PONTE VEDRA, FL 320816152

    Phone: (904) 202-4243

    Fax: (904) 390-7415

    Type: Location

  • PO BOX 746636

    ATLANTA, GA 303746636

    Phone: (904) 202-2092

    Fax: (904) 376-4075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($86).

Total Amount

$272

General + Research + Ownership

Payments

7

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2022-09-21

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
I20220921003647IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,039488$0
36415Insertion of needle into vein for collection of blood sample544375$0
99204New patient office or other outpatient visit, 45-59 minutes174174$0
G0442Annual alcohol misuse screening, 5 to 15 minutes116116$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit115115$0
View full utilization report →

Insurance plans in this area (ZIP 56537)

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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: 0244480531View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerGA
Internal Medicine, Geriatric MedicineFL
Hospitalist, Internal MedicineUT
Nurse PractitionerGA
Hospitalist, Internal MedicineFL
Nurse PractitionerGA
Hospitalist, Internal MedicineUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Can I verify DR. ANJALI GUPTA (MD) with an NPI only?
You can start verification with NPI 1922265123 for DR. ANJALI GUPTA (MD), then check state licensing separately.
Does the file indicate DR. ANJALI GUPTA (MD) is practicing under active NPI?
Directory data currently reports DR. ANJALI GUPTA (MD) as active.
What is DR. ANJALI GUPTA (MD) best known for clinically?
Directory data describes DR. ANJALI GUPTA (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANJALI GUPTA (MD) on a map?
Expect Fergus Falls, Minnesota as a primary anchor for DR. ANJALI GUPTA (MD) unless the record lists multiple sites.
Why does DR. ANJALI GUPTA (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.