DR. ARPANA GUPTA MD
NPI 1285668624
Internal Medicine in Wailuku, HI
NPI Status: Active since July 10, 2006
Contact Information
2180 MAIN ST
WAILUKU, HI
ZIP 96793
Phone: (808) 242-6464
Fax: (808) 242-4292
- Individual
- Female
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About ARPANA GUPTA
This page provides the complete NPI Profile along with additional information for Arpana Gupta, an internist established in Wailuku, Hawaii with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285668624 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD-16958 (HI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1285668624
- Provider Name
- DR. ARPANA GUPTA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2180 MAIN ST WAILUKU, HI 96793
- Location Phone
- (808) 242-6464
- Location Fax
- (808) 242-4292
- Mailing Address
- 2180 MAIN ST WAILUKU, HI 96793
- Mailing Phone
- (808) 242-6464
- Mailing Fax
- (808) 242-4292
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-10-2006
- Last Update Date
- 02-08-2022
- Code Navigator
An internist like Arpana Gupta is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1 Burdick Expy W
Minot, ND 58701
(701) 857-5000
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-16958
- License State
- HI
- Taxonomy Description
- 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.
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) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | A76933 (CA) |
2 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | PT18081 (OH) |
3 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | PT18081 (ND) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - EPO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
00A76933 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Arpana 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
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-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
3 DME suppliers used 34 Medicare Claims 34 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 36 Medicare Claims 36 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.
Follow-up hospital inpatient care per day, typically 25 minutes
Hospital discharge day management, 30 minutes or less
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 149 times for 50 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 35 times for 33 patientsPhysician Visit Costs
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 96793 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $136.68
- Minimum New Patient Price $60.53
- Maximum New Patient Price $180.05
- Average New Patient Copayment $34.17
- Minimum New Patient Copayment $15.13
- Maximum New Patient Copayment $45.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.65
- Minimum Established Patient Price $20.09
- Maximum Established Patient Price $147.56
- Average Established Patient Copayment $26.41
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $36.89
* 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.
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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. | |||||||||
1 | 2 | 8 | 5 | 6 | 6 | 8 | 6 | 2 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 12 | 6 | 16 | 6 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 2 + 6 + 1 + 6 + 6 + 4 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1285668624 is valid because the calculated check digit 4 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 |
---|---|---|---|
1679578827 | JUDY L SCHMIDT M.D. Individual | Internal Medicine (Hematology & Oncology) | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1043203417 | MS. PAMELA D. WOLZ PA-C Individual | Physician Assistant (Medical) | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1366427908 | DEYAA MOUNIR M.D. Individual | Hospitalist | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1558348359 | DR. DON L HALOUSKA M.D. Individual | Radiology (Diagnostic Radiology) | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1346228863 | DR. TAMARIN MCCARTIN Individual | Obstetrics & Gynecology | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1487623369 | MS. KAZUE T JOHANSEN P.A. Individual | Physician Assistant (Medical) | 2180 MAIN ST WAILUKU, HI 96793 (808) 984-7419 |
1861457012 | LANA M WILKINSON M.D. Individual | Radiology (Diagnostic Radiology) | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1710918610 | DR. WILLIAM ADLER M.D. Individual | Internal Medicine (Hematology & Oncology) | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1629001227 | ZORA BULATOVIC M.D. Individual | Hospitalist | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1154346914 | ROSEMARIE FORONDA APRN Individual | Nurse Practitioner | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1558386243 | KRISTEN GUTERMUTH M.D. Individual | Internal Medicine | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1033134804 | RUSSELL GARN M.D. Individual | Internal Medicine | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1912923103 | MATTHEW HO M.D. Individual | Pediatrics | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1699794321 | DAVID BURNETTE M.D. Individual | Radiology (Diagnostic Radiology) | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1417976143 | WILLIAM FAGAN D.C. Individual | Chiropractor | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1306865035 | DAVID GRAFF M.D. Individual | Hospitalist | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1114946407 | BRIAN HOZAKI R.P.T. Individual | Physical Therapist | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1679594980 | GUY HIRAYAMA M.D. Individual | Pediatrics | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1568483873 | FRANK HOLLISTER PAC Individual | Physician Assistant | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
1245251388 | EVELYN MACINTYRE Individual | Internal Medicine | 2180 MAIN ST WAILUKU, HI 96793 (808) 242-6464 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285668624, enumerated in the NPI registry as an "individual" on July 10, 2006
The provider is located at 2180 Main St Wailuku, Hi 96793 and the phone number is (808) 242-6464
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medica, Medicare and Medicaid. 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 $136.68 with an average copayment of $34.17 for new patient appointments. Established patients should expect a typical charge of $105.65 and an average copayment of 26.41. 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: Follow-up hospital inpatient care per day, typically 25 minutes and Hospital discharge day management, 30 minutes or less.
This NPI record was last updated on July 10, 2006. 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].
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