Pawan K Gupta, MD - Medicare Nephrology in Altoona, PA

Pawan K Gupta, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Altoona, Pennsylvania. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Pawan K Gupta Md Llc and his current practice location is 122 E Chestnut Ave, Altoona, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 943-3600.

Pawan K Gupta is licensed to practice in Pennsylvania (license number MD066182L) 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 1649287012.

Contact Information

Pawan K Gupta, MD
122 E Chestnut Ave,
Altoona, PA 16601-5202
(814) 943-3600
(814) 943-3675

Map and Direction




Physician's Profile

Full NamePawan K Gupta
GenderMale
SpecialityNephrology
Experience36 Years
Location122 E Chestnut Ave, Altoona, Pennsylvania
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:
  • Pawan K Gupta graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1649287012
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880612803
  • Enrollment ID: I20060322000604

Medical Identifiers

Medical identifiers for Pawan K Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649287012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD066182L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Us Renal Care AltoonaAltoona, PADialysis facility
Upmc AltoonaAltoona, PAHospital
Tyrone Regional Health NetworkTyrone, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pawan K Gupta Md Llc88200065702

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. Pawan K Gupta allows following entities to bill medicare on his behalf.
Entity NamePawan K Gupta Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578646725
PECOS PAC ID: 8820006570
Enrollment ID: O20060322000627

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. Pawan 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
Pawan K Gupta, MD
122 E Chestnut Ave,
Altoona, PA 16601

Ph: (814) 943-3600
Pawan K Gupta, MD
122 E Chestnut Ave,
Altoona, PA 16601-5202

Ph: (814) 943-3600

Reviews and Comments


Internal Medicine Doctors in Altoona, PA

Lakshmi Kavitha Kalluri, MBBS
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Practice Location: 1414 9th Ave, Altoona, PA 16602
Phone: 814-946-1655    
Jesse Blank,
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Phone: 814-889-2020    
Craig W Hartman, MD
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Practice Location: 800 Chestnut Ave, Altoona Lung Specialists, Altoona, PA 16601
Phone: 814-946-2846    Fax: 814-946-1273
Michael L Humphrey, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602
Phone: 814-946-1655    Fax: 814-949-7616
Jonathan Holtz,
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Medicare: Accepting Medicare Assignments
Practice Location: 1414 9th Ave, Altoona, PA 16602
Phone: 814-946-1655    
Alan C Ford, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1321 11th Ave, Altoona, PA 16601
Phone: 814-942-2411    Fax: 814-942-0510
Michael Zlupko,
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Medicare: Accepting Medicare Assignments
Practice Location: 800 Chestnut Ave, Altoona, PA 16601
Phone: 814-946-2846    

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.