Bali Kumar Gupta
- 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
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
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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
- 1316409634NPI Registry (opens in a new tab)
- 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
- Get email
- Mobile number
- Get number
- 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.
- Santa Clara Medical Center700 Lawrence Expressway, Santa Clara, CA 95051 · Santa Clara CountyPhone(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.
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.
| Site | EHR vendor and product |
|---|---|
| Santa Clara Medical Center | Available with a free account |
| +2 medical groups | Available 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, CaliforniaPrimary
- New Jersey license
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.
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.
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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.
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
- High blood pressure75%
- High cholesterol75%
- Arthritis55%
- Diabetes51%
- Mood disorders49%
- Chronic kidney disease48%
- Anxiety44%
- 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.
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.
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.
- Medical school
- Board certified in 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
- Medicare6
- PPO6
- HMO5
- POS3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Bali Kumar Gupta's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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 memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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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