DR. AJAY GUPTA MD
NPI 1043492341
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ypsilanti, MI

NPI Status: Active since November 29, 2007

Contact Information

5325 ELLIOTT DR
SUITE NUMBER 102
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-5500
Fax: (734) 712-8209

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  • Individual
  • Male
  • Years of Experience 26
  • Thoracic Surgery (Cardiothoracic Vascula...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About AJAY GUPTA

This page provides the complete NPI Profile along with additional information for Ajay Gupta, a provider established in Ypsilanti, Michigan with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery) and more than 26 years of experience. He graduated from Wayne State University School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1043492341 assigned on November 2007. The practitioner's primary taxonomy code is 208G00000X with license number 4301076275 (MI). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1043492341
Provider Name
DR. AJAY GUPTA MD
Gender
Male
Entity Type
Individual
Location Address
5325 ELLIOTT DR SUITE NUMBER 102 YPSILANTI, MI 48197
Location Phone
(734) 712-5500
Location Fax
(734) 712-8209
Mailing Address
5325 ELLIOTT DR SUITE NUMBER 102 YPSILANTI, MI 48197
Mailing Phone
(734) 712-5500
Mailing Fax
(734) 712-8209
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
11-29-2007
Last Update Date
12-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301076275
License State
MI
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Healthy Heart Gold Adult Vision & Fitness - HMO
  • Healthy Heart Silver - HMO
  • Healthy Heart Silver Adult Vision & Fitness - HMO
  • Low Premium Silver - HMO
  • Low Premium Silver Adult Vision & Fitness - HMO
  • Silver - HMO
  • Silver Adult Vision & Fitness - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Southeast Michigan Network - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Bronze - Trinity Health East Network - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Gold Trinity Health East Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Standard Silver - Trinity Health East Network - HMO
  • MyPriority Value Bronze - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
  • University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Select - HMO
  • University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
  • University of Michigan Health Plan HMO Exclusive Silver - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
  • University of Michigan Health Plan HMO Exclusive Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ajay Gupta is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ajay Gupta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496816944

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081203000232

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Iv pole (HCPCS:E0776)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Coronary artery bypass graft (CABG)

Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.

This service was performed for 76 patients

Coronary artery bypass using artery graft, 1 graft

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

This service was performed 30 times for 30 patients

Coronary artery bypass using vein or artery graft, 2 grafts

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

This service was performed 18 times for 18 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 83 times for 78 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 11 times for 11 patients

Pacemaker insertion or repair

Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.

This service was performed for 1-10 patients

Replacement of aortic valve through the skin and femoral artery

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

This service was performed 26 times for 26 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 1-10 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $44.34 for a new patient copayment and $18.09 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48197 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $177.36
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $44.34
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.38
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $18.09
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery 94% 192
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 223
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ajay Gupta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL620 BYRON RD
HOWELL, MI 48843
(517) 545-6000Acute Care Hospitals
TRINITY HEALTH ANN ARBOR HOSPITAL5301 E HURON RIVER DR
ANN ARBOR, MI 48106
(734) 712-3456Acute Care Hospitals
CHELSEA HOSPITAL775 S MAIN ST
CHELSEA, MI 48118
(734) 475-3911Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043492341
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208389438
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 8 + 9 + 4 + 3 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1043492341 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245237387MRS. SUSAN R. ILLIKMAN N.P.
Individual
Nurse Practitioner (Acute Care)5325 ELLIOTT DR
YPSILANTI, MI 48197
(734) 712-8000
1750377206DR. ANDREW LEE PRUITT MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5325 ELLIOTT DR SUITE 102
YPSILANTI, MI 48197
(734) 712-5500
1558357004DR. MANAK SOOD MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5325 ELLIOTT DR SUITE 102
YPSILANTI, MI 48197
(734) 712-5500
1467432708MS. CHRISTINE ANN COLVER RN, MS, ANP-C
Individual
Clinical Nurse Specialist (Acute Care)5325 ELLIOTT DR
YPSILANTI, MI 48197
(734) 712-8000
1295702736 MICHAEL O'DONNELL MD
Individual
Specialist5325 ELLIOTT DR SUITE 203
YPSILANTI, MI 48197
(734) 712-8000
1538136080 STEPHEN ROSENBLUM MD
Individual
Specialist5325 ELLIOTT DR SUITE 203
YPSILANTI, MI 48197
(734) 712-8000
1326008244 M. LAWAUN HANCE PA-C
Individual
Physician Assistant (Surgical)5325 ELLIOTT DR SUITE #102
YPSILANTI, MI 48197
(734) 712-7202
1265492946MR. SCOTT ALLEN ROGERS PA-C
Individual
Physician Assistant (Surgical)5325 ELLIOTT DR SUITE 102
YPSILANTI, MI 48197
(734) 712-5500
1992765374 DIANE J. JONES PA-C
Individual
Physician Assistant (Surgical)5325 ELLIOTT DR SUITE #102
YPSILANTI, MI 48197
(734) 712-7202
1912968017MS. JULIE ANN SIDELINGER PA-C
Individual
Physician Assistant (Surgical)5325 ELLIOTT DR SUITE 102
YPSILANTI, MI 48197
(734) 712-7289
1659321321MICHIGAN HEART PC
Organization
Specialist5325 ELLIOTT DR SUITE 201
YPSILANTI, MI 48197
(734) 712-8000
1740222033 RANDAL P DESROCHERS MD
Individual
Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150
1497791156 WALLACE A ARNESON JR. MD
Individual
Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150
1184660300 ROBERT K CLEARY MD
Individual
Colon & Rectal Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150
1770769184MR. THOMAS JOSEPH FORTON NP
Individual
Nurse Practitioner (Adult Health)5325 ELLIOTT DR
YPSILANTI, MI 48197
(734) 712-8000
1316263890DR. MELISSA ELANA MELVIN M.D.
Individual
Surgery5325 ELLIOTT DR AGVS
YPSILANTI, MI 48197
(734) 712-8150
1295771947 RICHARD A FLANAGAN JR. MD
Individual
Colon & Rectal Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150
1508806357 BETH C KIMBALL MD
Individual
Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150
1982644639 EDWARD D KRESKE MD
Individual
Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150
1417991977 ROBERT J MAZZEO MD
Individual
Surgery5325 ELLIOTT DR SUITE 104
YPSILANTI, MI 48197
(734) 712-8150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043492341, enumerated in the NPI registry as an "individual" on November 29, 2007

The provider is located at 5325 Elliott Dr Suite Number 102 Ypsilanti, Mi 48197 and the phone number is (734) 712-5500

The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

The provider has more than 26 years of experience. He graduated from Wayne State University School Of Medicine in 2000.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $177.36 with an average copayment of $44.34 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Coronary artery bypass graft (CABG), Coronary artery bypass using artery graft, 1 graft, Coronary artery bypass using vein or artery graft, 2 grafts, Established patient office or other outpatient visit, 10-19 minutes, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Pacemaker insertion or repair, Replacement of aortic valve through the skin and femoral artery and Upper gastrointestinal (GI) endoscopy for acid reflux.

The practitioner is affiliated to the following hospital(s): SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, TRINITY HEALTH ANN ARBOR HOSPITAL and CHELSEA HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on November 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.