Dr. Pankaj Gupta, MD, Geriatrician
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Dr. Pankaj Gupta, MD

Geriatrician | Geriatric Medicine

31 Southfield Rd Edison NJ, 08820

About

I have over 20 years of managed care experience in providing guidance and consultative services of Utilization Management (UM) and Care Management (CM) and staff management on issues relating to clinical services, case management, condition management, population health, health equity and health risk assessments.

I am a physician executive in a managed care organization who puts the patient first. To that goal, I have founded a nonprofit organization EQUITAAS with the mission of ADVANCING HEALTH EQUITY. Health equity is when everyone has a fair opportunity to achieve their best health. This is regardless of factors like race, literacy, preferred language and socioeconomic status- including food insecurity. Advancing health equity requires improvement to access to the right care and utilize technology to fulfill that improvement. 

I want to advance health equity with my nonprofit. EQUITAAS holds six of my patents. My intent is to create a suite of mobile apps. Each app leverages AI and addresses the chasms in HEALTH EQUITY. Each app promotes EQUITAAS' mission statement and ADVANCES HEALTH EQUITY. 

Education and Training

Harvard Medical School Fellowship in Geriatrics 1997

Jefferson School of Population Health, Masters in Chronic Care 2009

Cornell University, Johnson School of Business Executive MBA, General Management 2004

Saint George’s University School of Medicine MD 1996

Columbia University Post-Baccalaureate, Pre-Medical Program 1992

Colgate University AB, Economics 1988

Board Certification

American Board of Internal Medicine

Geriatric Medicine (Internal Medicine)

Board Certified: Geriatric Medicine

Medical License: NY

NJ

Six Sigma: Green Belt

Provider Details

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Dr. Pankaj Gupta, MD
Dr. Pankaj Gupta, MD's Expert Contributions
  • We Are Here To Help

    The current healthcare system in America is fundamentally flawed.  At the core of the health care system lies a perverse incentive to reward a high volume of services. This, in turn, can lead to more physician visits, which may lead to more procedures and tests, which could lead to more...

Faculty Titles & Positions

  • National Medical Director- Clinical Performance Optum 2024 - Present
  • Medical Director, Physician Reviewer, Physician Consultant Molina Healthcare 2023 - Present
  • Chief Medical Officer, Plan Performance Medical Director Anthem 2022 - 2023
  • Medical Director Clover 2021 - 2022
  • Senior Medical Director Emblem Health 2017 - 2020
  • Medical Director Emblem Health 2017 - 2017
  • Chief Medical Officer New York State Senior Whole Health 2014 - 2015
  • Regional Medical Director Humana 2013 - 2014
  • Regional Medical Director United Healthcare 2011 - 2013
  • Medical Director, Inpatient Care Coordination Team: Northeast United Healthcare 2007 - 2011
  • Medical Director, HealthCare Management Horizon 2006 - 2007
  • Founder, Chairman of the Board EQUITAAS 2020 - Present
  • Founder and CEO EMDEE -
  • Founder nonprofit 501(c)3 MiCARE -

Awards

  • Top 100 Entrepreneurs of 2022 2022 C-Suite Spotlight 
  • Top Doctor Award 2017 2017 Findatopdoc 

Professional Memberships

  • Medical Advisory Board at Alzheimer's Treatment Centers of America  
  • National Medicare Advantage Medical Director of Clinical Innovation at Optum  
  • Medical Advisory Board for Neuro Health Alliance  

Fellowships

  • Harvard Medical School; Beth Israel Deaconess Medical Center Geriatrics  2000

Dr. Pankaj Gupta, MD's Practice location

United Healthcaree

31 Southfield Rd -
Edison, NJ 08820
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New patients: 860-989-8829

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Media Releases

Esteemed Medical Director to Revolutionize Healthcare Landscape with Nonprofit MiCARE

Dr. Pankaj Gupta, MD, MBA, a distinguished figure in the healthcare industry, is making waves with his multifaceted roles as a visionary leader and innovator. With a wealth of experience spanning over two decades, Dr. Gupta has established himself as a trailblazer in managed care, focusing on patient-centric solutions and advancing health equity.

As the Founder and CEO of EMDEE, founder of nonprofit 501(c)3 MiCARE, member of the Medical Advisory Board at Alzheimer’s Treatment Centers of America, member of the Medical Advisory Board for Neuro Health Alliance, and National Medicare Advantage Medical Director at Optum, Dr. Gupta spearheads initiatives aimed at improving healthcare delivery and outcomes. His dedication to putting patients first led him to found MiCARE, the nonprofit organization with a mission statement: holistic approach for proactive care. MiCARE leverages AI for the patient. 

Dr. Gupta began his academic journey with a Bachelor of Arts Degree in Economics from Colgate University in 1988. He was an international banker with Citibank, then completed a Post-Baccalaureate Pre-Medical Program at Columbia University in 1992, followed by earning his Medical Degree from Saint George’s University School of Medicine in 1996. Dr. Gupta further specialized with a fellowship in geriatrics at Harvard Medical School, Beth Israel Deaconess Medical Center in 1997. He advanced his expertise in general management by obtaining an Executive MBA from Cornell University’s Johnson School of Business in 2004. 

Driven by a passion for applying technology so that the patient can treat themselves holistically, Dr. Gupta intends to create a suite of mobile apps under MiCARE that harnesses Artificial Intelligence (AI). Each app will align with MiCARE’s overarching goal of enhancing access to care, promoting a proactive healthy lifestyle, and assuring equitable health outcomes for all individuals. 

Additionally, through this work, Dr. Gupta employs Machine Learning (ML) and AI to help patients assess their risk of developing behavioral conditions and dementia.

Beyond his professional accomplishments, Dr. Gupta attributes his success to the support of mentors, friends, and family. His passion for nature photography, scuba diving in the Caribbean, and Dee Jaying underscores his well-rounded approach to life.

In recognition of his outstanding contributions to healthcare, Dr. Gupta was honored with the prestigious Top Doctor Award in 2017. His relentless pursuit of health equity and innovative solutions continues to inspire and drive positive change in the industry.

 

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ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAYl

865 STONE ST RAHWAY NJ 7065

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JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITYl

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