DR. SANJAY GUPTA M.D.
NPI 1801803523
Surgery - Surgical Critical Care in Lewiston, ME
NPI Status: Active since August 02, 2006
Contact Information
12 HIGH ST
STE 401
LEWISTON, ME
ZIP 04240
Phone: (207) 795-5767
Fax: (207) 795-2732
- Individual
- Male
- Surgery
- Surgical Critical Care
- Accepts Insurance
- PECOS Enrolled
About SANJAY GUPTA
This page provides the complete NPI Profile along with additional information for Sanjay Gupta, a provider established in Lewiston, Maine with a medical specialization in Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1801803523 assigned on August 2006. The practitioner's primary taxonomy code is 2086S0102X with license number 249981 (MA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1801803523
- Provider Name
- DR. SANJAY GUPTA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12 HIGH ST STE 401 LEWISTON, ME 04240
- Location Phone
- (207) 795-5767
- Location Fax
- (207) 795-2732
- Mailing Address
- 12 HIGH ST STE 401 LEWISTON, ME 04240
- Mailing Phone
- (207) 795-5767
- Mailing Fax
- (207) 795-2732
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 08-13-2024
- Code Navigator
Location Map
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
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 249981
- License State
- MA
- Taxonomy Description
- A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | 017630 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sanjay 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
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.
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Upper gastrointestinal (GI) endoscopy for acid reflux
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 12 times for 12 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 11 times for 11 patientsAn 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 patientsReviews for DR. SANJAY GUPTA M.D.
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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 | 8 | 0 | 1 | 8 | 0 | 3 | 5 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 16 | 0 | 6 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 6 + 0 + 6 + 5 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1801803523 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1336128073 | GUILLERMO J CANDIA MD Individual | Neurological Surgery | 12 HIGH ST STE 401 LEWISTON, ME 04240 (207) 795-5767 |
| 1346229077 | LARRY O HOPPERSTEAD MD Individual | Surgery (Trauma Surgery) | 12 HIGH ST STE 401 LEWISTON, ME 04240 (207) 795-5767 |
| 1720067267 | DAVID BAKER Individual | Pediatrics | 12 HIGH ST STE 301 LEWISTON, ME 04240 (207) 795-5730 |
| 1316926520 | JANE MARSH Individual | Nurse Practitioner | 12 HIGH ST STE 301 LEWISTON, ME 04240 (207) 795-5730 |
| 1457331423 | JENNIFER WEINER-SMITH Individual | Obstetrics & Gynecology | 12 HIGH ST STE 200 LEWISTON, ME 04240 (207) 795-5770 |
| 1831179803 | MICHAEL STADNICKI Individual | Family Medicine | 12 HIGH ST STE 302 LEWISTON, ME 04240 (207) 795-5709 |
| 1679553655 | BARBARA GERVAIS Individual | Nurse Practitioner | 12 HIGH ST STE 200 LEWISTON, ME 04240 (207) 795-5770 |
| 1215917919 | MARY ELLEN DAVIS Individual | Nurse Practitioner | 12 HIGH ST STE 400 LEWISTON, ME 04240 (207) 795-5700 |
| 1386624096 | LISE CLOUTIER Individual | Internal Medicine | 12 HIGH ST STE 400 LEWISTON, ME 04240 (207) 795-5700 |
| 1609856335 | PATRICIO MUJICA Individual | Neurological Surgery | 12 HIGH ST STE 401 LEWISTON, ME 04240 (207) 795-5709 |
| 1881674570 | PHUONG-MAI PHAM Individual | Internal Medicine | 12 HIGH ST STE 400 LEWISTON, ME 04240 (207) 795-5709 |
| 1144200833 | PAMELA ROSS Individual | Internal Medicine | 12 HIGH ST STE 400 LEWISTON, ME 04240 (207) 795-5700 |
| 1679553879 | JAMES JOSEPH Individual | Internal Medicine | 12 HIGH ST STE 400 LEWISTON, ME 04240 (207) 795-5700 |
| 1699746156 | OSCAR CABATINGAN MD Individual | Internal Medicine | 12 HIGH ST LEWISTON, ME 04240 (207) 795-5709 |
| 1902878499 | DR. KATARINA LATKOVICH MD Individual | Internal Medicine | 12 HIGH ST STE 400 CENTRAL MAINE INTERNAL MEDICINE LEWISTON, ME 04240 (207) 795-5700 |
| 1831138148 | GLENN D. FOCHT M.D. Individual | Internal Medicine | 12 HIGH ST STE. 402 LEWISTON, ME 04240 (207) 795-5700 |
| 1184653545 | MS. DENYSE M. PELLETIER ARNP Individual | Nurse Practitioner | 12 HIGH ST STE 400 LEWISTON, ME 04240 (207) 795-5700 |
| 1922037712 | ARLENE CENEDELLA MD Individual | Obstetrics & Gynecology | 12 HIGH ST STE 200 LEWISTON, ME 04240 (207) 795-5709 |
| 1023188703 | DR. NORRIS K LEE MD, FACS Individual | Otolaryngology | 12 HIGH ST STE 102 LEWISTON, ME 04240 (207) 784-4539 |
| 1528100369 | BONNEY STARBIRD N.P. Individual | Nurse Practitioner | 12 HIGH ST LEWISTON, ME 04240 (207) 795-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801803523, enumerated in the NPI registry as an "individual" on August 02, 2006
The provider is located at 12 High St Ste 401 Lewiston, Me 04240 and the phone number is (207) 795-5767
The provider's speciality is Surgery with taxonomy code 2086S0102X with a focus in Surgical Critical Care
The provider might be accepting Accepts: Cigna Healthcare, Florida Blue (BlueCross. 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.
The most common procedures or services performed by this practitioner are: Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes and Upper gastrointestinal (GI) endoscopy for acid reflux.
This NPI record was last updated on August 02, 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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