Dr Sanjay Gupta, MD - Medicare General Surgery in Lewiston, ME

Dr Sanjay Gupta, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Lewiston, Maine. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Umass Memorial Medical Group Inc, Coastal Medical Associates and his current practice location is 12 High St, Ste 401, Lewiston, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 795-5767.

Dr Sanjay Gupta is licensed to practice in Massachusetts (license number 249981) 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 1801803523.

Contact Information

Dr Sanjay Gupta, MD
12 High St, Ste 401,
Lewiston, ME 04240-7676
(207) 795-5767
(207) 795-2732

Map and Direction




Physician's Profile

Full NameDr Sanjay Gupta
GenderMale
SpecialityGeneral Surgery
Experience35 Years
Location12 High St, Lewiston, Maine
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 Sanjay Gupta graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1801803523
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608870225
  • Enrollment ID: I20120417000535

Medical Identifiers

Medical identifiers for Dr Sanjay Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801803523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0127XSurgery - Trauma Surgery 017630 (Maine)Secondary
2086S0102XSurgery - Surgical Critical Care 249981 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital
South Shore HospitalSouth weymouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911898
Coastal Medical Associates7113029257424

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 Sanjay Gupta allows following entities to bill medicare on his behalf.
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057

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 Sanjay 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 Sanjay Gupta, MD
12 High St, Ste 401,
Lewiston, ME 04240-7676

Ph: (207) 795-5767
Dr Sanjay Gupta, MD
12 High St, Ste 401,
Lewiston, ME 04240-7676

Ph: (207) 795-5767

Reviews and Comments


Surgery Doctors in Lewiston, ME

David S Lewis, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12 High St Ste 401, Lewiston, ME 04240
Phone: 207-795-5767    Fax: 207-795-2732
David J Burke, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 12 High St, Ste. 401, Lewiston, ME 04240
Phone: 207-795-5767    
Ms. Marsha C O'rourke, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 99 Campus Ave, Suite 303, Lewiston, ME 04240
Phone: 207-782-5424    Fax: 207-782-1136
Allan M Ingraham, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 60 High St, Cmhvi-y1, Lewiston, ME 04240
Phone: 207-795-8260    Fax: 207-795-8281
Dr. Kevin L Price, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12 High St, Suite 401, Lewiston, ME 04240
Phone: 207-795-5767    Fax: 207-795-2732
Gregory D'augustine, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 10 High St, Suite 202, Lewiston, ME 04240
Phone: 207-784-2903    
Dr. Scott Raymond Johnson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12 High St Ste 401, Lewiston, ME 04240
Phone: 207-795-5767    Fax: 207-795-2732

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.