Dr Sumit Kumar Gupta, MD - Medicare Ophthalmology in Charlotte, NC

Dr Sumit Kumar Gupta, MD is a medicare enrolled "Ophthalmology" physician in Charlotte, North Carolina. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2000 and has 24 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Charlotte Eye Ear Nose And Throat Associates Pa and his current practice location is 2325 W Arbors Dr, Suite 201, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 295-3500.

Dr Sumit Kumar Gupta is licensed to practice in North Carolina (license number 2008-01681) 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 1487662003.

Contact Information

Dr Sumit Kumar Gupta, MD
2325 W Arbors Dr, Suite 201,
Charlotte, NC 28262-2663
(704) 295-3500
(704) 295-3506

Map and Direction




Physician's Profile

Full NameDr Sumit Kumar Gupta
GenderMale
SpecialityOphthalmology
Experience24 Years
Location2325 W Arbors Dr, Charlotte, North Carolina
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 Sumit Kumar Gupta attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2000
  NPI Data:
  • NPI Number: 1487662003
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 05/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3577530351
  • Enrollment ID: I20081023000625

Medical Identifiers

Medical identifiers for Dr Sumit Kumar Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487662003NPI-NPPES
1502COtherNCBCBSNC
180G410170OtherMIBCBS GROUP
20096148OtherSCSELECT HEALTH OF SC
2687OtherNCEVOLUTIONS HEALTHCARE
5910409MedicaidNC
7719573OtherNCAETNA
N01682MedicaidSC
104779114MedicaidMI
89695OtherSCCHCARES OF SC
01224936OtherSCAMERIGROUP
P00667584OtherSCMEDICARE RAILROAD
SG075835OtherMIMED LICENSE
000000291982OtherSCUNISON HEALTH PLAN OF SC
773424OtherSCWELLCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology SG075835 (Michigan)Secondary
207W00000XOphthalmology 2008-01681 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charlotte Eye Ear Nose And Throat Associates Pa0446155451148

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 Sumit Kumar Gupta allows following entities to bill medicare on his behalf.
Entity NameCharlotte Eye Ear Nose & Throat Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043287469
PECOS PAC ID: 0446155451
Enrollment ID: O20031203000519

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 Sumit Kumar 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 Sumit Kumar Gupta, MD
6035 Fairview Rd,
Charlotte, NC 28210-3256

Ph: (704) 295-3000
Dr Sumit Kumar Gupta, MD
2325 W Arbors Dr, Suite 201,
Charlotte, NC 28262-2663

Ph: (704) 295-3500

Reviews and Comments


Ophthalmology Doctors in Charlotte, NC

Dr. Lisa Anne Collea, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 704-295-3000    Fax: 704-295-3468
Ernest M. Bhend, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 704-295-3000    Fax: 704-295-3121
Dr. James Wesley Heroman, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 497 N Wendover Rd, Charlotte, NC 28211
Phone: 704-376-5424    Fax: 704-376-5354
Dr. Benjamin Charles Kramer, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 135 S Sharon Amity Rd Ste 100, Charlotte, NC 28211
Phone: 704-365-0555    Fax: 704-367-8120
Jeffrey Ryan Stetler, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 6035 Fairview Rd, Charlotte, NC 28210
Phone: 704-295-3000    Fax: 704-295-3468
Dr. Samuel Santander, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 3621 Randolph Road, Suite 100, Charlotte, NC 28211
Phone: 704-332-9365    Fax: 704-364-7384
Dr. Judy Diane Hustead, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 135 S Sharon Amity Rd, Suite 100, Charlotte, NC 28211
Phone: 704-365-0555    Fax: 704-367-8124

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.