ANJALI GUPTA (MD) – Internal Medicine Physician, NPI 1104074715

ANJALI GUPTA (MD) is a healthcare provider. based in Vancouver, Washington. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD61204532 (WA). The NPI Number for ANJALI GUPTA (MD) is 1104074715

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANJALI GUPTA (MD)
NPI
1104074715
Phone
(360) 514-2470
Address
505 NE 87th Ave Ste 460
Enumeration Date
8 September 2008
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605146390
Graduation Year
2005 (21 years ago)
PAC ID
4688728322
Group Practice PAC ID
8820178288
Professional Enrollment ID
I20211201003124
Address ID
WA986641965VA505XXAVEX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:17State licenses:3Digital endpointsOther names

279 NEPHROLOGY in WA

Provider Addresses for ANJALI GUPTA (MD)

  • 505 NE 87th Ave Ste 460

    Vancouver, WA 986641965

    Phone: (360) 514-2470

    Fax: (360) 514-7624

    Type: Location

  • 2460, Northwest Stewart Parkway, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 102

    ROSEBURG, OR 974711516

    Phone: (541) 677-2494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Calliditas Therapeutics US Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-27

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: 2021-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140702002003INephrologyORTBD
I20211201003124INephrologyWATBD

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 minutes8646$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5231$0
90935Hemodialysis procedure with physician evaluation3319$0
99214Established patient office or other outpatient visit, 30-39 minutes2625$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 98664)

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Provider's Procedures

ANJALI GUPTA (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYOR81002Urinalysis, manual test3636

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: 8820178288View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
Physician AssistantWA
General Surgery, Thoracic SurgeryWA
General Surgery, Thoracic SurgeryWA
O P H T H A L M O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Medical OncologyWA
G A S T R O E N T E R O L O G YOR
Physician AssistantWA

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Frequently asked questions

Is there an official ID for ANJALI GUPTA (MD) in U.S. healthcare records?
The official identifier for ANJALI GUPTA (MD) is NPI 1104074715.
Is there an active status for ANJALI GUPTA (MD)?
For scheduling context, ANJALI GUPTA (MD) is shown as active in the registry.
How would a patient describe ANJALI GUPTA (MD)'s focus?
For ANJALI GUPTA (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ANJALI GUPTA (MD)?
Directory geography for ANJALI GUPTA (MD) centers on Vancouver, Washington.
When was this NPI issued?
Enumeration for ANJALI GUPTA (MD) is noted as September 8, 2008 where the registry provides it.