SUMATI VIRENDRA GUPTA (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1003906603
Geriatric Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
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Provider Addresses for SUMATI VIRENDRA GUPTA (MD)
127 SO. 500 EAST #600
SALT LAKE CITY, UT 84102
Phone: (801) 587-6705
Fax: (801) 715-8228
Type: Mailing
Cancer Hospital South, 1950, Circle of Hope Drive, Salt Lake City, Salt Lake County, Utah, 84103, United States
CLINIC 2B
SALT LAKE CITY, UT 841125550
Phone: (801) 585-0100
Fax: (801) 585-0721
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $3,643.
Total Amount is formed as General ($184) + Research ($3,459) + Ownership ($0) = $3,643.
Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Astellas Pharma Global Development ($3,459).
Total Amount
$3,643
General + Research + Ownership
Payments
8
Total payment records
General Amount
$184
General payments
Research Amount
$3,459
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma Global Development | $3,459 |
| Seagen Inc. | $99 |
| Aveo Pharmaceuticals, Inc. | $85 |
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: 2005-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050110000424 | I | Internal Medicine | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 181 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 18 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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