Dr Summit Gupta, MD is a medicare enrolled "General Acute Care Hospital" physician in Rockville, Maryland. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ennoble Hc Dmv Llc, Ennoble Hc Dmv Llc and his current practice location is
137 Bullard Cir, Rockville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(290) 321-9575.
Dr Summit Gupta is licensed to practice in Maryland (license number D0068890) 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 1942485321.
Physician's Profile
Full Name | Dr Summit Gupta |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 22 Years |
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Location | 137 Bullard Cir, Rockville, Maryland |
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Accepts Medicare Assignments | Yes. 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 Summit Gupta graduated from medical school in 2003
NPI Data:
- NPI Number: 1942485321
- Provider Enumeration Date: 01/04/2008
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406931674
- Enrollment ID: I20090904000294
Medical Identifiers
Medical identifiers for Dr Summit Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942485321 | NPI | - | NPPES |
P00688341-MERCER | Other | NJ | RAILROAD MEDICARE |
1022457110002 | Medicaid | PA | |
3582382000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
0248100-00 | Medicaid | MD | |
102245711 0003-LOWER | Medicaid | PA | |
2082417 | Other | PA | HIGHMARK BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | MD432933 (Pennsylvania) | Secondary |
313M00000X | Nursing Facility/intermediate Care Facility | D0068890 (Maryland) | Secondary |
282N00000X | General Acute Care Hospital | D0068890 (Maryland) | Primary |
Medical Facilities Affiliation
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 Summit Gupta allows following entities to bill medicare on his behalf.
Entity Name | Capital Primary And Geriatric Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689936304 PECOS PAC ID: 5597920389 Enrollment ID: O20120801000765 |
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Entity Name | 3s Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982102943 PECOS PAC ID: 5294096004 Enrollment ID: O20180219000721 |
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Entity Name | Ennoble Hc Dmv Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211209000400 |
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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 Summit 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 Address | Practice Location Address |
Dr Summit Gupta, MD 10205 Wincopin Cir, Unit 302, Columbia, MD 21044-3433 Ph: (443) 421-6815 | Dr Summit Gupta, MD 137 Bullard Cir, Rockville, MD 20850-3816 Ph: (290) 321-9575 |
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