Active NPI 1114182771 Individual Practitioner Female Practitioner

Dr. Sandhya Gupta , MD

Internal Medicine • Virginia Beach, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sandhya Gupta, MD is a certified Internal Medicine practicing in Virginia Beach, VA. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Gupta delivers high-quality medical care to the local community at 2025 GLENN MITCHELL DR.

Dr. Gupta is affiliated with Sentara Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2025 Glenn Mitchell Dr

Virginia Beach, VA 234560178

Telephone 7575074123

Associated Practice Facility / Clinic

🏢 Sentara Princess Anne Hospital Facility NPI 1528028396

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Virginia Beach, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +11.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

117 Specialists

Practicing in Virginia Beach, VA (3758 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (37 Years) 37 Yrs

Virginia Beach Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	458	210	$232.77	$116.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	325	189	$156.65	$78.03
99239 Hospital discharge day management, more than 30 minutes	189	182	$224.92	$114.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	120	$356.76	$172.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$253.76	$130.52
99291 Critical care, first 30-74 minutes	53	43	$406.91	$209.86
99497 Advance care planning, first 30 minutes	42	38	$145.48	$75.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$101.38	$48.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	425	214	$229.21	$118.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	383	201	$153.76	$78.26
99239 Hospital discharge day management, more than 30 minutes	190	184	$223.47	$113.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	104	103	$351.38	$172.24
99497 Advance care planning, first 30 minutes	57	50	$153.51	$74.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$264.14	$125.06
99291 Critical care, first 30-74 minutes	42	37	$429.07	$211.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$93.20	$49.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	404	179	$210.00	$101.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	403	195	$147.00	$70.41
99239 Hospital discharge day management, more than 30 minutes	139	136	$216.00	$103.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$408.00	$197.38
99497 Advance care planning, first 30 minutes	58	49	$160.00	$77.54
99291 Critical care, first 30-74 minutes	43	39	$449.00	$217.97
99358 Prolonged patient service without direct patient contact first hour	30	28	$226.00	$110.18
99217 Hospital observation care on day of discharge	25	25	$148.00	$68.47
99225 Subsequent observation care, typically 25 minutes per day	22	18	$148.00	$70.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$276.00	$134.66
99220 Hospital observation care, typically 70 minutes	11	11	$374.00	$178.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	550	231	$152.74	$71.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	361	189	$216.56	$102.39
99239 Hospital discharge day management, more than 30 minutes	160	153	$226.14	$106.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$427.30	$200.22
99497 Advance care planning, first 30 minutes	65	51	$160.00	$78.77
99217 Hospital observation care on day of discharge	40	39	$148.00	$72.44
99291 Critical care, first 30-74 minutes	38	34	$449.00	$221.12
99225 Subsequent observation care, typically 25 minutes per day	28	22	$148.00	$72.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$276.00	$132.54
99358 Prolonged patient service without direct patient contact first hour	20	20	$226.00	$112.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	703	291	$147.00	$73.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	302	199	$210.00	$105.77
99239 Hospital discharge day management, more than 30 minutes	199	192	$216.00	$108.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	80	$428.85	$206.13
99497 Advance care planning, first 30 minutes	80	69	$160.00	$79.70
99291 Critical care, first 30-74 minutes	36	33	$498.19	$226.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$276.00	$138.47
99217 Hospital observation care on day of discharge	27	27	$148.00	$74.09
99225 Subsequent observation care, typically 25 minutes per day	21	19	$148.00	$71.86
99358 Prolonged patient service without direct patient contact first hour	20	20	$226.00	$114.01
99220 Hospital observation care, typically 70 minutes	12	12	$524.50	$183.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	787	334	$155.28	$72.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	318	187	$213.07	$103.41
99239 Hospital discharge day management, more than 30 minutes	242	231	$222.81	$106.58
99497 Advance care planning, first 30 minutes	110	91	$170.00	$78.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$433.15	$199.37
99291 Critical care, first 30-74 minutes	36	32	$645.89	$223.27
99217 Hospital observation care on day of discharge	33	33	$152.12	$70.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$86.00	$39.61
99225 Subsequent observation care, typically 25 minutes per day	21	19	$148.67	$70.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$358.19	$135.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	661	284	$147.56	$72.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	445	243	$207.46	$103.62
99239 Hospital discharge day management, more than 30 minutes	260	242	$214.67	$106.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	74	$444.20	$200.57
99217 Hospital observation care on day of discharge	45	44	$147.56	$72.65
99497 Advance care planning, first 30 minutes	45	36	$170.00	$78.71
99225 Subsequent observation care, typically 25 minutes per day	30	22	$149.57	$71.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	15	$88.56	$38.92
99291 Critical care, first 30-74 minutes	23	21	$614.43	$220.83
99238 Hospital discharge day management, 30 minutes or less	13	13	$179.69	$67.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$359.00	$126.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	227	112	$278.00	$69.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	206	109	$380.00	$99.75
99220 Hospital observation care, typically 70 minutes	135	131	$575.00	$177.33
99239 Hospital discharge day management, more than 30 minutes	128	117	$510.00	$103.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	109	$654.00	$191.31
99217 Hospital observation care on day of discharge	84	80	$261.00	$68.30
99225 Subsequent observation care, typically 25 minutes per day	41	34	$235.00	$70.12
99291 Critical care, first 30-74 minutes	41	34	$2019.00	$213.52
99226 Subsequent observation care, typically 35 minutes per day	34	30	$339.00	$101.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	18	$197.00	$37.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	27	$244.00	$51.47

Medical Specialties & State Licenses

CMS Verified: 2024-05-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101262802

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License VA 0101262802

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WI 54045

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 125-055483

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WI 54045

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100011729 (WI)

Hospital & Practice Group Affiliations

Sentara Medical Group

2025 Glenn Mitchell Dr, Virginia Beach, VA 234560178

Phone: 7575074123

Secondary Practice Locations

W3985 County Road Nn

Elkhorn, WI 531214337

Phone: 2627412718

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location May 20, 2024

Registered at 2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 234560178 (Tel: 7575074123)

📍

Updated Business Mailing Address May 20, 2024

Registered at 2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 234560178 (Tel: 7575074123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2024

Hospitalist (License #0101262802 in VA)

📍

Updated Practice Location November 23, 2021

Registered at W3985 COUNTY ROAD NN, ELKHORN, WI 531214337 (Tel: 2627412718)

📍

Updated Business Mailing Address November 23, 2021

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 2627412718)

📍

Updated Practice Location February 28, 2020

Registered at 2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 234560178 (Tel: 7575074123)

📍

Updated Business Mailing Address February 28, 2020

Registered at 2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 234560178 (Tel: 7575074123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2020

Internal Medicine (License #54045 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2019

Internal Medicine (License #125-055483 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2019

Hospitalist (License #54045 in WI)

✅

NPI Profile Active March 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2016

Registered at W3985 COUNTY ROAD NN, ELKHORN, WI 531214337 (Tel: 2627412718)

📍

Updated Business Mailing Address March 23, 2016

Registered at W3985 COUNTY ROAD NN, ELKHORN, WI 531214337 (Tel: 2627412718)

👤

Provider Name / Credentials Updated March 23, 2016

Recorded as SANDHYA GUPTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2016

Internal Medicine (License #54045 in WI)

🟢

Initial NPI Registration & Enumeration July 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114182771

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 23, 2008

Last Update: May 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2025 Glenn Mitchell Dr

Virginia Beach, VA 234560178

Phone: 7575074123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.