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Active NPI 1124132188 Individual Practitioner Male Practitioner

Dr. Pravin Gupta , MD

Internal Medicine • Summit, WI

Professional Overview & Biography Verified Profile Summary

Dr. Pravin Gupta, MD is a registered healthcare professional specializing in Internal Medicine in Summit, WI. Practice services are available at 36500 AURORA DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Fax 5154719320
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Summit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Summit, WI (2181 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
368 173 $265.00 $70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
343 161 $393.00 $102.09
G0008 Administration of influenza virus vaccine
90 87 $59.56 $15.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
89 89 $350.00 $110.98
90662 Influenza vaccine split virus, preservative free
47 45 $85.74 $54.50
93000 Routine ekg using at least 12 leads including interpretation and report
40 38 $215.00 $15.96
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage
40 40 $25.13 $18.65
G0009 Administration of pneumococcal vaccine
39 39 $56.54 $15.92
99495 Transitional care management services for problem of at least moderate complexity
28 24 $659.00 $157.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
24 24 $188.96 $109.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $389.00 $103.28
90670 Pneumococcal vaccine for injection into muscle
15 15 $367.67 $208.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
11 11 $515.00 $163.84

Medical Specialties & State Licenses

CMS Verified: 2020-01-16
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 9-320

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IN 01039588

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IA 40674

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100072887 (WI)

Secondary Practice Locations

1001 N Center Point Rd Ste C

Hiawatha, IA 522331237

Phone: 3193620200

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Internal Medicine (License #01039588 in IN)

📍
Updated Practice Location January 16, 2020

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 16, 2017

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Practice Location November 16, 2017

Registered at 1001 N CENTER POINT RD STE C, HIAWATHA, IA 522331237 (Tel: (319) 362-0200)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as PRAVIN GUPTA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Internal Medicine (License #9-320 in WI)

📍
Updated Practice Location September 28, 2017

Registered at 1001 N CENTER POINT RD STE C, HIAWATHA, IA 522331237 (Tel: (319) 362-0200)

📍
Updated Business Mailing Address September 28, 2017

Registered at PO BOX 1455, DES MOINES, IA 503061455 (Tel: 5154719300)

NPI Profile Active July 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2015

Registered at 2022 KELLE DR, CHESTERTON, IN 463048708 (Tel: 2193952200)

📍
Updated Business Mailing Address July 19, 2015

Registered at 2022 KELLE DR, CHESTERTON, IN 463048708 (Tel: 2193952200)

👤
Provider Name / Credentials Updated July 19, 2015

Recorded as PRAVIN GUPTA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2015

Internal Medicine (License #01039588 in IN)

🟢
Initial NPI Registration & Enumeration August 18, 2006

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: 1124132188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

36500 Aurora Dr

Summit, WI 530664899

Phone: 2624341000

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.