Priyanka Gupta, MD - Medicare Internal Medicine in Antioch, CA

Priyanka Gupta, MD is a medicare enrolled "Hospitalist" physician in Antioch, California. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 3901 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 756-1192.

Priyanka Gupta is licensed to practice in California (license number A138055) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457697971.

Contact Information

Priyanka Gupta, MD
3901 Lone Tree Way,
Antioch, CA 94509-6200
(925) 756-1192
(925) 756-1869

Map and Direction




Physician's Profile

Full NamePriyanka Gupta
GenderFemale
SpecialityInternal Medicine
Experience14 Years
Location3901 Lone Tree Way, Antioch, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Priyanka Gupta graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1457697971
  • Provider Enumeration Date: 01/02/2013
  • Last Update Date: 05/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8325268600
  • Enrollment ID: I20151208000591

Medical Identifiers

Medical identifiers for Priyanka Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457697971NPI-NPPES
A138055OtherCASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A138055 (California)Secondary
208M00000XHospitalist A138055 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Delta Medical CenterAntioch, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

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. Priyanka Gupta allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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. Priyanka 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
Priyanka Gupta, MD
3687 Mt Diablo Blvd,
Lafayette, CA 94549-3717

Ph: (916) 854-6975
Priyanka Gupta, MD
3901 Lone Tree Way,
Antioch, CA 94509-6200

Ph: (925) 756-1192

Reviews and Comments


Hospitalist Doctors in Antioch, CA

Dr. James Francis Chan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-6500    Fax: 925-813-7411
Rohee Krishan, MD
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Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    
Ni Mo, D.O.
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Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-6500    
Adedotun A Adewusi, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-756-1192    Fax: 925-779-7220
Jingping Hao, M.D.
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Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-6500    
Virginia Kathleen Scialanca, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    
Lenny Husen, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    

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.