Rishu Gupta, MD is a medicare enrolled "Dermatology" physician in Vista, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Rishu Gupta Md Inc and his current practice location is
2023 W Vista Way Ste D, Vista, California. You can reach out to his office (for appointments etc.) via phone at
(858) 357-7033.
Rishu Gupta is licensed to practice in California (license number A153840) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942620869.
Physician's Profile
| Full Name | Rishu Gupta |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 2023 W Vista Way Ste D, Vista, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rishu Gupta attended and graduated from University Of Southern California Keck School Of Medicine in 2014
NPI Data:
- NPI Number: 1942620869
- Provider Enumeration Date: 04/17/2014
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375894553
- Enrollment ID: I20180927000949
Medical Identifiers
Medical identifiers for Rishu Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942620869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2015014060 (Missouri) | Secondary |
| 207N00000X | Dermatology | A153840 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rishu Gupta Md Inc | 8628424413 | 2 |
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. Rishu Gupta allows following entities to bill medicare on his behalf.
| Entity Name | Dale Alvin Kooistra |
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| Entity Type | Practitioner - Dermatology |
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| Entity Identifiers | NPI Number: 1831182971
PECOS PAC ID: 1658565015
Enrollment ID: I20101029000319 |
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| Entity Name | Rishu Gupta Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902519986
PECOS PAC ID: 8628424413
Enrollment ID: O20231031001706 |
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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. Rishu 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 Address | Practice Location Address |
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Rishu Gupta, MD
2023 W Vista Way Ste D,
Vista, CA 92083-6030
Ph: (858) 357-7033 | Rishu Gupta, MD
2023 W Vista Way Ste D,
Vista, CA 92083-6030
Ph: (858) 357-7033 |
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