Dr. Dr. Pankaj Gupta, MD
Internist | Geriatric Medicine
31 Southfield Rd Edison NJ, 08820About
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
Dr. Dr. Pankaj Gupta, MD's Expert Contributions
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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...
My mother has heart palpitations after doing work. What could be the reason?
You should have your mother get checked out by a cardiologist right away. READ MORE
My father is undergoing severe depression after my mom passed away. How can we help him?
It's normal to go through a bereavement process. If the signs continue after 2 months, then it could be depression. READ MORE
My father is suffering from urine incontinence. Is there a way to manage this?
Urinary incontinence can be because of many different reasons: infection, neuro-cognitive problems (dementia, Parkinson's), depression, arthritis (not being able to get to the bathroom), etc... We should find out the root cause. I suggest you visit your doctor. READ MORE
My mother's hands are trembling. Is this the start of Parkinson's disease?
This could be Essential Tremor, which is not related to a disease process. I recommend that you get it checked out. A simple pill can take care of the issue. READ MORE
My mother in law has vaginal bleeding all of a sudden at the age of 72. What is wrong?
I suggest that your mother-in-law see a gynecologist. They may check the lining of the organ to make sure that everything is okay. READ MORE
My mother has a cut on her leg which hasn't been healing for the last 2 weeks. What could it be?
Not very good wound healing may be because of a poor diet, underlying diabetes, or bad circulation. I recommend you go to your doctor. READ MORE
My father is 84 years old and bedridden. He is having diarrhea since yesterday. What should we do?
It could be an infection or impact ion of hard stools with diarrhea flowing around it. READ MORE
My mother has been constantly losing weight. Should we be concerned?
Please speak to your mother's doctor. The weight loss in only 3 months is quite significant. READ MORE
is Quetiapine known to make one drowsy?
Yes, it makes people drowsy. READ MORE
Is it common for the elderly to get agitated quickly or does this need medical attention?
I suggest not to give a medication until we know why is she becoming agitated. Is it at a certain part of the day, is it after something that sparked her to behave like that? Sometimes, agitation can be a simple urine infection. READ MORE
At what age does Parkinson's disease typically present itself?
Parkinson's can affect even younger people. Michael Fox is an example... READ MORE
How can we manage my father in law's oxygen requirements?
Depending on what was the extent of the infection in the lungs will factor in how long he might need oxygen support. Check with your doctor. If his resting oxygen level is above 88%, then the doctor should recommend taking him off oxygen (this is assuming your father has enough lung power to climb stairs, etc.). READ MORE
Are painkillers advisable for older people?
Absolutely not. Painkillers are NOT suitable for older people. Painkillers have a lot of side effects. It is important to know what is a safe dose. Painkillers should not be used chronically. READ MORE
Is Parkinson's disease curable?
Sorry to hear. There is a lot of research going on. Unfortunately, at this time, it is a progressive disease. Hopefully, the medication will control her symptoms. READ MORE
Can you suggest a suitable medication for my grandmother's throat pain?
Your grandmother should really see her doctor. We must make sure that there is no infection. I would stay away from benedryl. READ MORE
What are the most effective laxatives for people above the age of 70?
We would rather not introduce another pill to his pharmacy regiment. I suggest making sure he drinks enough plain water and has high-fiber food like oranges, apples with the skin, figs, prunes, etc. READ MORE
My father is 82 years old and has been detected with a tumor in the stomach. Would it make sense to make him to go through the treatment?
We should consider how functional is your father? Can he care for himself? Can he drive? Is he active? How is his memory? Does he have health problems? Is the stomach tumor affecting his quality of life? READ MORE
Can gestational diabetes during pregnancy harm the baby?
I specialize in geriatrics (dementia, etc.) and I would think your current doctor that you see during your pregnancy would know and provide you with an accurate answer to your question. Good luck! READ MORE
What is cauterised tumor?
Cauterization is a surgical practice of burning the tissue to remove a growth. Depending on what the tumor is would tell us what type of tumor it is and if it is fatal. READ MORE
Can diabetes cause numbness and itching in my hands?
YES, numbness can be caused by uncontrolled diabetes. It depends where the numbness is. The excess glucose in the blood affects the nerve endings, especially in the feet. READ 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
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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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