Dr Ajay K Gupta, MD - Medicare General Practice in Austin, TX

Dr Ajay K Gupta, MD is a medicare enrolled "Family Medicine" physician in Austin, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Austin Regional Clinic Pa and his current practice location is 4515 Seton Center Pkwy Ste 220, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 338-8388.

Dr Ajay K Gupta is licensed to practice in Texas (license number J8562) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629026067.

Contact Information

Dr Ajay K Gupta, MD
4515 Seton Center Pkwy Ste 220,
Austin, TX 78759
(512) 338-8388
(512) 406-6274

Map and Direction




Physician's Profile

Full NameDr Ajay K Gupta
GenderMale
SpecialityGeneral Practice
Experience30 Years
Location4515 Seton Center Pkwy Ste 220, Austin, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ajay K Gupta attended and graduated from University Of Texas Medical School At San Antonio in 1994
  NPI Data:
  • NPI Number: 1629026067
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 05/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325067515
  • Enrollment ID: I20101203000685

Medical Identifiers

Medical identifiers for Dr Ajay K Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629026067NPI-NPPES
124005307MedicaidTX
124005308MedicaidTX
82T248OtherTXBCBSTX PROVIDER NUMB

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine J8562 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Austin Regional Clinic Pa3072507789336

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ajay K Gupta allows following entities to bill medicare on his behalf.
Entity NameAustin Regional Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821157579
PECOS PAC ID: 3072507789
Enrollment ID: O20040414000198

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ajay K Gupta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ajay K Gupta, MD
6210 E Us Hwy 290, Ste. 420 - Credentialing,
Austin, TX 78759-5785

Ph: (512) 338-3826
Dr Ajay K Gupta, MD
4515 Seton Center Pkwy Ste 220,
Austin, TX 78759

Ph: (512) 338-8388

Reviews and Comments


Family Medicine Doctors in Austin, TX

Robert Obrien, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4316 James Casey St, Bldg F200, Austin, TX 78745
Phone: 512-791-7555    
Jason B Holinbeck,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1301 W 38th St Ste 102, Austin, TX 78705
Phone: 512-454-4561    Fax: 512-406-7330
David L. Purtle, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Lohmans Crossing Rd Ste 150, Austin, TX 78734
Phone: 737-717-8430    Fax: 737-717-8469
Dr. Jared Kealy, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6937 N Interstate 35 Ste 2, Austin, TX 78752
Phone: 877-800-5722    
Dr. Barbara Lynne Gray, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12505 Hymeadow Dr, Suite 2a, Austin, TX 78750
Phone: 512-219-8991    Fax: 512-219-8996
Dr. Albert Edward Meisenbach Iii, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 West Dean Keeton, Austin, TX 78712
Phone: 512-475-8335    Fax: 512-471-0898
Dr. Kanakadurga Govindaraju, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4107 Spicewood Springs Rd Ste 100, Austin, TX 78759
Phone: 512-397-3360    Fax: 512-343-7107

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.