Bali Kumar Gupta

  • Santa Clara, CA
  • Internist
NPI1316409634PAC ID5890163133
Medicare services, 2024
254
Medicare patients, 2024
126
Part D claims, 2024
130
MIPS score, 2024
100
Hospital affiliations
1
Practice address
700 Lawrence Expressway, Santa Clara, CA 95051
Practice phone
Call (408) 236-6400
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Santa Clara Medical Center

Hospital · Santa Clara, California

See all 4 affiliations

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Bali Kumar Gupta is an internist in Santa Clara, California

Bali Gupta practices at Santa Clara Medical Center in Santa Clara, California, part of Kaiser Permanente.

Bali Gupta's NPI, 1316409634, was assigned on April 4, 2019. Bali Gupta graduated from Drexel University College Of Medicine in 2019. Bali Gupta holds California license A195180.

NPI and contact details
Medicare PAC ID
5890163133
NPI enumeration date
April 4, 2019
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(408) 236-6400
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
33
Medical school graduation
2019

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Bali Kumar Gupta practices at Santa Clara Medical Center in Santa Clara, California

Bali Gupta's primary practice is Santa Clara Medical Center, at 700 Lawrence Expressway, Santa Clara, CA 95051 in Santa Clara County. The practice phone is (408) 236-6400.

Source: Dmand AI Affiliation Data

Bali Kumar Gupta is affiliated with 1 site of care and 3 medical groups

Bali Gupta's primary practice is Santa Clara Medical Center in Santa Clara, California, part of Kaiser Permanente. The medical group on file is The Permanente Medical Group, Inc. Dmand AI also links Bali Gupta to 2 more medical groups, each named with a free account.

See all 4 affiliations for Bali Gupta

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Bali Kumar Gupta's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Bali Gupta practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Santa Clara Medical CenterAvailable with a free account
+2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Bali Kumar Gupta is one of 16,751 internists in California

Internal medicine is Bali Gupta's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Bali Gupta is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Bali Gupta's licenses on file in 2 states: California and New Jersey.

Specialties and state licenses

  • Internal medicine, CaliforniaPrimaryLicense A195180 · 2024 to 2026 · taxonomy 207R00000X
  • New Jersey licenseLicense 25MA11549800 · 2022 to 2025

Internists near Bali Gupta

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Bali Kumar Gupta billed Medicare for 254 services in 2024

CMS data shows 254 Medicare services from Bali Gupta across 5 procedure codes in 2024, for 126 Medicare patients. Medicare paid $18,813 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024254
Medicare patients126
Paid by Medicare$18,813
Procedure codes5

Bali Gupta's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5132024: 25450%

Bali Gupta compared with the California median for internists, 2024

  • Bali Gupta
  • California median
Medicare services
254vs 36130% below
Medicare patients
126vs 15117% below
Part D claims
12vs 42197% below

Medians across 15,815 internists in California with Dmand AI profiles that report each measure.

Bali Gupta's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Bali Gupta

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Bali Kumar Gupta treated 126 Medicare patients in 2024, average age 74

CMS counts 126 Medicare patients who saw Bali Gupta in 2024. The largest group is 75 to 84, with 39 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 37% are also on Medicaid. Their average risk score is 2.65, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Bali Gupta's median patient age at 76, with 47% women.

Medicare patients, 2024126
Average age74
Average risk score2.65
Also on Medicaid37%

Bali Gupta's Medicare patients by age, 2024

Bali Gupta's Medicare patients by sex, 2024

  • Women7660%
  • Men5040%

Chronic conditions among Bali Gupta's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis55%
  4. Diabetes51%
  5. Mood disorders49%
  6. Chronic kidney disease48%
  7. Anxiety44%
  8. Depression44%

Share of Medicare patients with each condition. A patient can have several.

Bali Gupta's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 76

Patient panel by sex, all payers

  • Women47%
  • Men52%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Bali Kumar Gupta wrote 130 Medicare Part D claims in 2024

In 2024, Bali Gupta wrote 130 Medicare Part D claims for 56 patients. 86% of them were for generic drugs. CMS names the drug for 12 of them, across 1 drug with 11 or more claims each, at $337 in total drug cost. In 2022, CMS named 53 claims across 4 drugs.

Part D claims, 2024130
Drugs named by CMS1
Total drug cost$337
Part D patients56

Bali Gupta's Part D claims by kind of drug, 2024

  • Generic112 claims86%
  • Brand-name18 claims14%

Bali Gupta's most prescribed drugs by claims, 2023

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Bali Gupta's Part D claims, 2024

  • Antibiotics19%25 of 130 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2022 to 2023

  • 2022
  • 2023
Claims for drugs CMS names
2022: 532023: 1277%

Drugs named by CMS: 1 in 2023, 4 in 2022.

See all prescribing by Bali Gupta

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Bali Kumar Gupta scored 100 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Bali Gupta for performance year 2024, reported through an alternative payment model (APM). Bali Gupta accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Bali Gupta's MIPS scores, performance year 2024

  • 100of 100Final score
  • 81.6of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Bali Kumar Gupta graduated from Drexel University College Of Medicine

Bali Gupta graduated from Drexel University College Of Medicine in 2019.

  1. Medical schoolDrexel University College Of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Bali Kumar Gupta accepts plans from 8 insurance carriers

Bali Gupta is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Cigna. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Cigna
  • Horizon Blue Cross Blue Shield of New Jersey
  • Kaiser Permanente
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • CMS Medicare

Plan types Bali Gupta accepts, by number of carriers

  1. Medicare6
  2. PPO6
  3. HMO5
  4. POS3
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Bali Kumar Gupta's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Bali Kumar Gupta

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Bali Kumar Gupta's NPI number?

Bali Kumar Gupta's NPI number is 1316409634. It was assigned on April 4, 2019, and it is active in the NPI Registry.

What does Bali Kumar Gupta specialize in?

Bali Kumar Gupta is an internist in Santa Clara, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Bali Kumar Gupta practice?

Bali Gupta practices at 700 Lawrence Expressway, Santa Clara, CA 95051. Bali Gupta's primary practice is Santa Clara Medical Center in Santa Clara, California, part of Kaiser Permanente. Dmand AI also links Bali Gupta to 2 medical groups.

What is Bali Kumar Gupta's office phone number?

The practice phone on file for Bali Gupta is (408) 236-6400.

What is Bali Kumar Gupta's medical license number?

Bali Gupta holds California license A195180, one of the licenses on file in 2 states.

Which states has Bali Kumar Gupta been licensed in?

Dmand AI has state licenses on file for Bali Gupta in California (2024 to 2026) and New Jersey (2022 to 2025).

Which hospitals is Bali Kumar Gupta affiliated with?

Bali Gupta practices at Santa Clara Medical Center in Santa Clara, California.

What medical group is Bali Kumar Gupta part of?

Bali Gupta is linked to The Permanente Medical Group, Inc. Dmand AI links Bali Gupta to 2 more medical groups.

Does Bali Kumar Gupta accept Medicare?

Yes. CMS data shows Bali Gupta billed Medicare for 254 services in 2024, and Bali Gupta accepts Medicare assignment.

What is Bali Kumar Gupta's MIPS score?

Bali Gupta's MIPS final score for performance year 2024 is 100 out of 100, reported through an alternative payment model (APM).

Show 7 more questionsShow fewer questions

How many Medicare patients does Bali Kumar Gupta see?

CMS counts 126 Medicare patients who saw Bali Gupta in 2024, with an average age of 74.

Is Bali Kumar Gupta board certified?

Yes. Bali Gupta is board certified in internal medicine by the American Board of Internal Medicine.

What services does Bali Kumar Gupta bill to Medicare?

In 2024, Bali Gupta's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99239) and hospital inpatient care (99238).

Where did Bali Kumar Gupta go to medical school?

Bali Gupta graduated from Drexel University College Of Medicine in 2019.

What drugs does Bali Kumar Gupta prescribe most?

In 2023 Medicare Part D data, Bali Gupta's most prescribed drugs by claims were Atorvastatin Calcium.

How long has Bali Kumar Gupta been practicing?

Bali Gupta graduated from medical school in 2019, 7 years ago.

What insurance does Bali Kumar Gupta accept?

Bali Gupta is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Cigna. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

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