Dr Jyoti Gupta, MD - Medicare Pediatrics in Edinburg, TX

Dr Jyoti Gupta, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Edinburg, Texas. Her current practice location is 5017 S Mccoll Rd, Edinburg, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 627-2414.

Dr Jyoti Gupta is licensed to practice in Texas (license number N1662) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790963809.

Contact Information

Dr Jyoti Gupta, MD
5017 S Mccoll Rd,
Edinburg, TX 78539-8080
(956) 627-2414
(956) 627-2076

Map and Direction




Physician's Profile

Full NameDr Jyoti Gupta
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location5017 S Mccoll Rd, Edinburg, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790963809
  • Provider Enumeration Date: 01/31/2008
  • Last Update Date: 12/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527129899
  • Enrollment ID: I20081204000597

Medical Identifiers

Medical identifiers for Dr Jyoti Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790963809NPI-NPPES
199197803MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics N1662 (Texas)Secondary
2080P0202XPediatrics - Pediatric Cardiology 001427 (Georgia)Secondary
2080P0202XPediatrics - Pediatric Cardiology N1662 (Texas)Primary

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 Jyoti Gupta allows following entities to bill medicare on her behalf.
Entity NameSunrise Medical Clinic Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891029963
PECOS PAC ID: 2365582152
Enrollment ID: O20091230000225

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 Jyoti 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 Jyoti Gupta, MD
Po Box 2764,
Mcallen, TX 78502-2764

Ph: (956) 310-2439
Dr Jyoti Gupta, MD
5017 S Mccoll Rd,
Edinburg, TX 78539-8080

Ph: (956) 627-2414

Reviews and Comments


Pediatrics Doctors in Edinburg, TX

Dr. Jeremy L. Gibson, M.D.
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Medicare: Medicare Enrolled
Practice Location: 4150 Crosspoint Blvd, Edinburg, TX 78539
Phone: 956-296-1960    Fax: 956-296-2855
Muhammad Amar Khan, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5506 S Jackson Rd, Edinburg, TX 78539
Phone: 956-661-0066    Fax: 956-661-0071
Dr. Mahwish Nasir, MD
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Medicare: Medicare Enrolled
Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539
Phone: 956-362-8677    Fax: 956-362-7253
Dr. Roberto A Ayres, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2821 Michaelangelo Dr Ste 303, Edinburg, TX 78539
Phone: 956-362-8275    Fax: 956-362-8281
Corazon Gladys White Ajero, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 316 Conquest Blvd, Suite 300, Edinburg, TX 78539
Phone: 956-383-7779    Fax: 956-383-3315
William John Norberg Jr., M.D
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Medicare: Not Enrolled in Medicare
Practice Location: 1102 W Trenton Rd, Picu Intensivist, Edinburg, TX 78539
Phone: 956-388-6000    
Dr. Martin Garza, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3521 W Freddy Gonzalez Dr, Suite B, Edinburg, TX 78539
Phone: 956-287-2100    Fax: 956-287-2111

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.