Individual provider Active NPI

Sanjaya Kumar Gupta, MD

  • Clinical Cardiac Electrophysiology Physician
  • Kansas City, MO
National Provider Identifier
1700904182
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2011009245 Issued in MO
Practice address
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111
Phone
(816) 931-1883
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011009245 MO
Cardiovascular Disease Physician 207RC0000X 2011009245 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X 2011009245 MO Primary

Addresses

Primary practice location

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111

Mailing address

901 E 104TH St
Mailstop 400N
Kansas City, MO 64131-4517
Phone (816) 502-8782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110708000506 MO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365527348 Reassigns benefits to 4 organizations
I20110719000296 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365527348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

1001 6TH Ave
Leavenworth, KS 66048-3248

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

1101 S 7 Hwy
Blue Springs, MO 64014-3204
Phone (816) 251-5800

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1302

12330 Metcalf Ave
Overland Park, KS 66213-1324

1307 E N Ave
Belton, MO 64012-5109
Phone (816) 251-5765

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700

20 NE Saint Lukes Blvd
Lee'S Summit, MO 64086-6001

20 NE Saint Lukes Blvd
Suite 240
Lees Summit, MO 64086-6019
Phone (816) 931-1883

2791 N Washington St
Saint Lukes Medical Group
Chillicothe, MO 64601-2902
Phone (660) 646-2682

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480

3066 N Kentucky St
Iola, KS 66749-1951
Phone (620) 365-1211

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1483

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 932-4630

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011009245MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton Cardiovascular Disease CurrentSince Mar 1, 2017 Accepting new patients
Saint Luke'S Physician Group Inc Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Mar 1, 2017 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 16, 2012 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Feb 12, 2019 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 16, 2012 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Feb 12, 2019 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Oct 3, 2018 Accepting new patients
Saint Lukes Hospital of Chillicothe Cardiovascular Disease CurrentSince Oct 3, 2018 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC PastSince Jan 28, 2024 Accepting new patients
Cushing Hospital Physician Services L.L.C. Cardiovascular Disease Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

1001 6th Ave
Ste 200
Leavenworth, KS 66048
Phone (913) 651-7151

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

2791 N Washington St
Chillicothe, MO 64601
Phone (816) 646-1480

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

2301 Holmes St
Kansas City, MO 64108

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

20 NE Saint Lukes Blvd
Ste 240
Lees Summit, MO 64086

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: sanjaya.gupta@direct.tmcmed.org
  • Direct secure messaging: sgupta5077@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1700904182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD",
            "address_2": "SUITE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANJAYA",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011009245",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2011009245",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2011009245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.