Dr. Sumit Guha, MD
- Medicare services, 2024
- 291
- Medicare patients, 2024
- 243
- Part D claims, 2024
- 341
- MIPS score, 2024
- 94
- Medical group
- 1
- Practice address
- 16088 San Pedro Ave, San Antonio, TX 78232
- Practice phone
- Call (210) 402-4092
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Baptist Neighborhood Hospital - Thousand Oaks
San Antonio, Texas
Find Dr. Guha's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Sumit Guha is an emergency medicine physician in San Antonio, Texas
Dr. Guha practices at Baptist Neighborhood Hospital - Thousand Oaks in San Antonio, Texas.
Dr. Guha's NPI, 1144278698, was assigned on May 5, 2006. Dr. Guha graduated from Texas Tech University Health Sciences Center School of Medicine in 1992. Dr. Guha's Texas license number on file is J9695.
- NPI
- 1144278698NPI Registry (opens in a new tab)
- NPI enumeration date
- May 5, 2006
- NPI status
- Active
- Practice phone
- (210) 402-4092
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Medical school graduation
- 1992
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Dr. Sumit Guha practices at Baptist Neighborhood Hospital - Thousand Oaks in San Antonio, Texas
Dr. Guha's primary practice is Baptist Neighborhood Hospital - Thousand Oaks, at 16088 San Pedro Ave, San Antonio, TX 78232 in Bexar County. The practice phone is (210) 402-4092.
- Baptist Neighborhood Hospital - Thousand Oaks16088 San Pedro Ave, San Antonio, TX 78232 · Bexar CountyPhone(210) 402-4092
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Sumit Guha is affiliated with 1 site of care and 1 medical group
Dr. Guha's primary practice is Baptist Neighborhood Hospital - Thousand Oaks in San Antonio, Texas. The medical group on file is Third Coast Emergency Physicians - Southwest.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Sumit Guha's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Guha practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Baptist Neighborhood Hospital - Thousand Oaks | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Sumit Guha is one of 4,831 emergency medicine physicians in Texas
Emergency medicine is Dr. Guha's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Guha is board certified in emergency medicine by the American Board of Emergency Medicine. Dmand AI has Dr. Guha's licenses on file in 3 states: Texas, Washington and Georgia.
Specialties and state licenses
- Emergency medicine, TexasPrimary
- Washington license
- Georgia license
Emergency medicine physicians near Dr. Guha
Counts of emergency medicine physicians 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
Dr. Sumit Guha billed Medicare for 291 services in 2024
CMS data shows 291 Medicare services from Dr. Guha across 5 procedure codes in 2024, for 243 Medicare patients. Medicare paid $25,737 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Guha's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 3012024: 25117%
- Tests and treatments
- 2023: 552024: 4027%
Dr. Guha compared with the Texas median for emergency medicine physicians, 2024
- Dr. Guha
- Texas median
- Medicare services
- 291vs 22529% above
- Medicare patients
- 243vs 20618% above
- Part D claims
- 188vs 742.5 times
Medians across 4,588 emergency medicine physicians in Texas with Dmand AI profiles that report each measure.
Dr. Guha'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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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Guha and other emergency medicine physicians in Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Sumit Guha treated 243 Medicare patients in 2024, average age 73
CMS counts 243 Medicare patients who saw Dr. Guha in 2024. The largest group is 75 to 84, with 88 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 14% are also on Medicaid. Their average risk score is 1.26, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Guha's median patient age at 39, with 59% women.
Dr. Guha's Medicare patients by age, 2024
Dr. Guha's Medicare patients by sex, 2024
- Women12853%
- Men11547%
Chronic conditions among Dr. Guha's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis50%
- Diabetes33%
- Anxiety31%
- Mood disorders31%
- Chronic kidney disease30%
- Depression28%
Share of Medicare patients with each condition. A patient can have several.
Dr. Guha's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 39
Patient panel by sex, all payers
- Women59%
- Men40%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Sumit Guha wrote 341 Medicare Part D claims in 2024
In 2024, Dr. Guha wrote 341 Medicare Part D claims for 213 patients. 86% of them were for generic drugs. CMS names the drug for 188 of them, across 10 drugs with 11 or more claims each, at $1,943 in total drug cost. In 2023, CMS named 197 claims across 10 drugs.
Dr. Guha's Part D claims by kind of drug, 2024
- Generic294 claims86%
- Brand-name and other47 claims14%
Dr. Guha's most prescribed drugs by claims, 2024
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 Dr. Guha's Part D claims, 2024
- Opioids6%22 of 341 claims
- Antibiotics38%130 of 341 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, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1972024: 1885%
Drugs named by CMS: 10 in 2024, 10 in 2023.
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
Dr. Sumit Guha scored 94 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Dr. Guha for performance year 2024, reported as part of a group.
Dr. Guha's MIPS scores, performance year 2024
- 94of 100Final score
- 92.8of 100Quality
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Sumit Guha graduated from Texas Tech University Health Sciences Center School of Medicine
Dr. Guha graduated from Texas Tech University Health Sciences Center School of Medicine in 1992.
- Medical school
- Board certified in emergency medicine
Source: Dmand AI Professional Profile Data
Dr. Sumit Guha accepts plans from 15 insurance carriers
Dr. Guha is in network with 15 carriers, including Aetna, Elevance and United Healthcare. HMO plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Aetna
- Elevance
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Alliant Health Plans
- HCSC
- Aspirus Health Plan
- Baylor Scott and White
- +7 more carriersWith a free account
Plan types Dr. Guha accepts, by number of carriers
- HMO9
- PPO8
- POS6
- Medicare3
- EPO2
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Sumit Guha'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 | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation 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 | 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 Dr. Sumit Guha
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Sumit Guha's NPI number?
Dr. Sumit Guha's NPI number is 1144278698. It was assigned on May 5, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Sumit Guha?
Dr. Sumit Guha is an emergency medicine physician in San Antonio, Texas. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).
Where does Dr. Sumit Guha practice?
Dr. Guha practices at 16088 San Pedro Ave, San Antonio, TX 78232. Dr. Guha's primary practice is Baptist Neighborhood Hospital - Thousand Oaks in San Antonio, Texas.
What is Dr. Sumit Guha's office phone number?
The practice phone on file for Dr. Guha is (210) 402-4092.
What is Dr. Sumit Guha's medical license number?
Dr. Guha's Texas license number on file is J9695, one of the licenses on file in 3 states.
Which states has Dr. Sumit Guha been licensed in?
Dmand AI has state licenses on file for Dr. Guha in Texas (1996 to 2025), Washington (1995 to 2027) and Georgia (1994 to 2025).
What medical group is Dr. Sumit Guha part of?
Dr. Guha is linked to Third Coast Emergency Physicians - Southwest.
Does Dr. Sumit Guha accept Medicare?
Yes. CMS data shows Dr. Guha billed Medicare for 291 services in 2024.
What is Dr. Sumit Guha's MIPS score?
Dr. Guha's MIPS final score for performance year 2024 is 94 out of 100, reported as part of a group.
How many Medicare patients does Dr. Sumit Guha see?
CMS counts 243 Medicare patients who saw Dr. Guha in 2024, with an average age of 73.
Show 6 more questionsShow fewer questions
Is Dr. Sumit Guha board certified?
Yes. Dr. Guha is board certified in emergency medicine by the American Board of Emergency Medicine.
What services does Dr. Sumit Guha bill to Medicare?
In 2024, Dr. Guha's most billed Medicare services were emergency department visit (99284), emergency department visit (99285) and heart test or procedure (93010).
Where did Dr. Sumit Guha go to medical school?
Dr. Guha graduated from Texas Tech University Health Sciences Center School of Medicine in 1992.
What drugs does Dr. Sumit Guha prescribe most?
In 2024 Medicare Part D data, Dr. Guha's most prescribed drugs by claims were Amoxicillin-Clavulanate Potass, Nitrofurantoin Mono-Macro and Clindamycin HCl.
How long has Dr. Sumit Guha been practicing?
Dr. Guha graduated from medical school in 1992, 34 years ago.
What insurance does Dr. Sumit Guha accept?
Dr. Guha is in network with 15 carriers, including Aetna, Elevance and United Healthcare. HMO plans come from the most carriers, 9. Check the plan with the practice before a visit.
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