Dr. Ashutosh Gupta
- Gender: Male
- Sole propriator: No
- NPI: 1114993680
Dr. Ashutosh Gupta M.D.
Pediatrician
He is located at 1417 South Cliff Avenue Ste 010 in Sioux Falls, SD 57105. Can help patients with the following: Anencephaly, Birth Defects, Fragile X Syndrome (FXS), Hives, Noonan Syndrome, Urinary Tract Infection (UTI). His National Provider Identifier (NPI) number is 1114993680. Appointment can be made via the phone number (605) 322-3666. He is affiliated with 1 practices.
Conditions treated
Dr. Ashutosh Gupta, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Ashutosh Gupta.
- Abdominal Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Asthma
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bronchitis
- Cerebral Palsy (CP)
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Chronic Cough
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Croup
- Developmental Delays
- Down Syndrome
- Dyslexia
- Eczema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- General Care
- Hay Fever
- Head Lice
- Headache
- Hives
- Infant Care
- Influenza
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Parenting
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Ashutosh Gupta as in-network for the following 2026 plans.
Health plans
Avera Health Plans
Network data as of Jan 23, 2026, as reported by the insurer.
Show all 23 plans from Avera Health Plans
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| ConnectPlus $0 Gold (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus $0 Silver (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus $10,600 HSA Eligible HDHP (2 plan variants) | PPO · Catastrophic | Commercial | Accepting new patients |
| ConnectPlus $1800 (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus $4500 (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus $6500 HSA Eligible HDHP (2 plan variants) | PPO · Expanded Bronze | Commercial | Accepting new patients |
| ConnectPlus $7500 HSA Eligible HDHP (2 plan variants) | PPO · Expanded Bronze | Commercial | Accepting new patients |
| ConnectPlus MyWeighForward $2000 (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus MyWeighForward $6000 (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus Standard $2000 (2 plan variants) | PPO · Gold | Commercial | Accepting new patients |
| ConnectPlus Standard $6000 (2 plan variants) | PPO · Silver | Commercial | Accepting new patients |
| ConnectPlus Standard $7500 HSA Eligible HDHP (2 plan variants) | PPO · Expanded Bronze | Commercial | Accepting new patients |
| DirectConnect $0 Gold | HMO · Gold | Direct | Accepting new patients |
| DirectConnect $0 Silver | HMO · Silver | Direct | Accepting new patients |
| DirectConnect $1800 | HMO · Gold | Direct | Accepting new patients |
| DirectConnect $4500 | HMO · Silver | Direct | Accepting new patients |
| DirectConnect $6500 HSA Eligible HDHP | HMO · Expanded Bronze | Direct | Accepting new patients |
| DirectConnect $7500 HSA Eligible HDHP | HMO · Expanded Bronze | Direct | Accepting new patients |
| DirectConnect MyWeighForward $2000 | HMO · Gold | Direct | Accepting new patients |
| DirectConnect MyWeighForward $6000 | HMO · Silver | Direct | Accepting new patients |
| DirectConnect Standard $2000 | HMO · Gold | Direct | Accepting new patients |
| DirectConnect Standard $6000 | HMO · Silver | Direct | Accepting new patients |
| DirectConnect Standard $7500 HSA Eligible HDHP | HMO · Expanded Bronze | Direct | Accepting new patients |
Wellmark of South Dakota, Inc.
Network data as of Sep 8, 2026, as reported by the insurer.
Show all 7 plans from Wellmark of South Dakota, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellmark Bronze HDHP EPO HSA Qualified (2 plan variants) | EPO · Expanded Bronze | Bluerx Essentials | Accepting new patients |
| Wellmark Bronze Traditional EPO (2 plan variants) | EPO · Expanded Bronze | Bluerx Essentials | Accepting new patients |
| Wellmark Gold Traditional EPO (2 plan variants) | EPO · Gold | Bluerx Essentials | Accepting new patients |
| Wellmark Silver Traditional EPO (2 plan variants) | EPO · Silver | Bluerx Essentials | Accepting new patients |
| Wellmark Standard Bronze EPO (2 plan variants) | EPO · Expanded Bronze | Bluerx Essentials | Accepting new patients |
| Wellmark Standard Gold EPO (2 plan variants) | EPO · Gold | Bluerx Essentials | Accepting new patients |
| Wellmark Standard Silver EPO (2 plan variants) | EPO · Silver | Bluerx Essentials | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Ashutosh Gupta is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Ashutosh Gupta is enrolled to bill Medicare as a Practitioner - Pediatric Medicine (also registered under: Practitioner - Endocrinology) .
Bills through: Avera St Marys
Based on Medicare's public enrollment records as of Sep 29, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Tandem Diabetes Care | $49 |
| Medtronic | $22 |
| GlaxoSmithKline | $21 |
Other
| Food and Beverage | $124 |
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- Gender: Male
- Address: 1600 West 22nd Street Sioux Falls, 57105, SD
- Gender: Female
- Address: 1600 West 22nd Street Sioux Falls, 57105, SD
- Gender: Male
- Address: 1600 West 22nd Street Sioux Falls, 57105, SD
- Gender: Male
- Address: 1600 West 22nd Street Sioux Falls, 57105, SD
- Gender: Male
- Address: 1600 West 22nd Street Sioux Falls, 57105, SD
- Gender: Female
- Address: 1600 West 22nd Street Sioux Falls, 57105, SD
- Gender: Male
- Address: Suite 010 1417 South Cliff Avenue Sioux Falls, 57105, SD
Questions & Answers
What conditions does Dr. Ashutosh Gupta treat?
Dr. Ashutosh Gupta provides treatment for Anencephaly, Birth Defects, Fragile X Syndrome (FXS), Hives, Noonan Syndrome, Urinary Tract Infection (UTI). For the full list see this list.
Does Dr. Ashutosh Gupta accept insurance?
Dr. Ashutosh Gupta is listed in-network for 30 ACA Marketplace (Obamacare/HealthCare.gov) plans from Avera Health Plans, Wellmark of South Dakota, Inc.. See the Marketplace plans section for details.
Does Dr. Ashutosh Gupta have affiliation with practices?
Dr. Ashutosh Gupta is affiliated with Avera Medical Group Pediatric Specialists Sioux Falls.
Where can you meet with Dr. Ashutosh Gupta?
Dr. Ashutosh Gupta's office is located at 1417 South Cliff Avenue Ste 010 in Sioux Falls, SD 57105.