Ashutosh Gupta, MD - Medicare Pediatrics in Sioux Falls, SD

Ashutosh Gupta, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Sioux Falls, South Dakota. His current practice location is 1417 S. Cliff Ave, Ste 010, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 322-3666.

Ashutosh Gupta is licensed to practice in South Dakota (license number 5374) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114993680.

Contact Information

Ashutosh Gupta, MD
1417 S. Cliff Ave, Ste 010,
Sioux Falls, SD 57105-1014
(605) 322-3666
(605) 322-3665

Map and Direction




Physician's Profile

Full NameAshutosh Gupta
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location1417 S. Cliff Ave, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114993680
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 10/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284614520
  • Enrollment ID: I20040726000658

Medical Identifiers

Medical identifiers for Ashutosh Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114993680NPI-NPPES
2277812OtherSDARAZ/ AMERICA'S PPO
370624200OtherSDDEPT OF LABOR
486T4GUOtherMNCC SYSTEMS/ BLUE PLUS
722801041579OtherSDPREFERRED ONE
000080878OtherMNPRIMEWEST
243254OtherSDMIDLANDS CHOICE
4995353OtherSDBLUE CROSS
57105I009OtherSDWPS TRICARE
HP43044OtherSDHEALTHPARTNERS
6004860MedicaidSD
13414MedicaidND
5374OtherSDDAKOTACARE
0581785MedicaidIA
486T4GUOtherMNBLUE CROSS
1202972OtherSDMEDICA
36795OtherSDSANFORD HEALTH PLAN
684477400MedicaidMN
46022474339MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology 5374 (South Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashutosh Gupta allows following entities to bill medicare on his behalf.
Entity NameAvera St Marys
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669457180
PECOS PAC ID: 0143134965
Enrollment ID: O20040225000579

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashutosh Gupta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ashutosh Gupta, MD
Po Box 86370,
Sioux Falls, SD 57118-6370

Ph: (605) 322-7510
Ashutosh Gupta, MD
1417 S. Cliff Ave, Ste 010,
Sioux Falls, SD 57105-1014

Ph: (605) 322-3666

Reviews and Comments


Pediatrics Doctors in Sioux Falls, SD

Dr. Shari L Eich, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106
Phone: 605-322-1010    Fax: 605-322-1011
Michael Elliott, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105
Phone: 605-336-2140    
Brock J Doubledee, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1600 W 22nd, Sioux Falls, SD 57105
Phone: 605-312-1000    Fax: 605-312-1001
Katherine Wang, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105
Phone: 605-322-4425    Fax: 605-322-4499
Kayelyn J. Wagner, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105
Phone: 605-312-1000    Fax: 605-312-1001
Gulsah Olgun, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105
Phone: 605-328-7800    Fax: 605-328-7899
Mrs. Katie Elizabeth Larson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105
Phone: 605-328-7800    Fax: 605-328-7899

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.