Dr. Pankaj Gupta, MD, MBA, Geriatrician
We verify the medical license of each FindaTopDoc Verified Doctor to ensure that their license is active and they are in good medical standing.

Dr. Pankaj Gupta, MD, MBA

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

MaleEnglish
Dr. Pankaj Gupta, MD, MBA
Dr. Pankaj Gupta, MD, MBA'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 -
  • Co-Founder USAssurances 2025 - Present
  • International Banker Citibank -

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, MBA's Practice location

United Healthcaree

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

Dr. Pankaj Gupta, MD, MBA's reviews

(0)
Write Review

Media Releases

Esteemed Physician and Medical Director Leveraging AI to Revolutionize the Healthcare Landscape

New Jersey – Pankaj Gupta, MD, MBA, a prominent leader in the healthcare sector, is revolutionizing the industry with his innovative approaches and unwavering commitment to patient-centered care. With more than 20 years of extensive experience in clinical practice, healthcare management, and entrepreneurship, Dr. Gupta has emerged as a trailblazer in managed care, continuously seeking to enhance healthcare delivery and outcomes.

As the Founder and CEO of EMDEE and the National Medicare Advantage Medical Director of Enterprise Clinical Services at Optum, Dr. Gupta’s influence spans multiple facets of the healthcare landscape. His diverse roles also include serving on the Board of Advisors for Neuro Health Alliance, contributing to the Medical Advisory Board at Alzheimer’s Treatment Centers of America, and founding EQUITAAS, a company focused on equitable healthcare solutions. His latest venture, USAssurances, co-founded in January 2025, aims to simplify healthcare access through AI-driven software that assists individuals in managing COBRA or FEHB, ensuring they can retain their employer-based health insurance while keeping their preferred healthcare providers.

Dr. Gupta’s innovative spirit shines through his commitment to leveraging technology to empower patients. By utilizing artificial intelligence, he aims to facilitate a more proactive approach to healthcare, allowing individuals to assess their health risks and manage their wellness journey effectively. His vision includes developing a suite of mobile applications that harness AI to enhance access to care, promote healthy lifestyles, and ensure equitable health outcomes for all.

Dr. Gupta’s impressive academic credentials lay a solid foundation for his impactful career. He earned a Bachelor of Arts in Economics from Colgate University in 1988, followed by a role as an international banker at Citibank. His medical journey continued with a Post-Baccalaureate Pre-Medical Program at Columbia University, culminating with a Medical Degree from Saint George’s University School of Medicine in 1996. He further specialized in geriatrics through a fellowship at Harvard Medical School/Beth Israel Deaconess Medical Center in 1997 and solidified his business acumen with an Executive MBA from Cornell University’s Johnson School of Business in 2004.

Recognized for his exceptional contributions to healthcare, Dr. Gupta has received numerous accolades, including being named one of the Top 100 Entrepreneurs by C-Suite Spotlight in 2022 and receiving the Top Doctor Award from Findatopdoc in 2017. These accolades reflect his entrepreneurial spirit and dedication to improving patient care.

Beyond his professional achievements, Dr. Gupta values the support of mentors, friends, and family, which he credits for his success. He also embraces life outside of work, finding joy in nature photography, scuba diving in the Caribbean, and DJing, showcasing his well-rounded approach to life.

As Dr. Pankaj Gupta continues to innovate and lead in the healthcare industry, his work remains focused on one fundamental goal: to enhance the healthcare experience for patients, ensuring they receive the care they need to live healthier, fuller lives. 

Recommended Articles

  • Where Exactly Does the Pain Occur During Appendicitis?

    Appendicitis is the inflammation of the appendix, a disease that is mostly known as the rupture of the appendix. The human appendix is considered to be a vestigial structure. Vestigial means lacking meaningful work, or the evolving of a part of the body to take on a new shape, or an organ that has...

  • Antidepressants for Parkinson's Disease

    Parkinson’s disease affects people of ages 55-75, although it may affect younger people, too. Parkinson's disease is a neurological disorder. This disease affects the movement of muscles, their control, and balance.Symptoms of Parkinson’s Disease...

  • What Are the Signs and Symptoms of Arthritis?

    Arthritis is a condition that causes inflammation and swelling in the joints. It may also affect the tissues surrounding the joints and other adjacent or connective tissues, and its adverse effects may be either on one or multiple joints. The arthritic disease or condition can be categorized into...

  • Is Osteoporosis Preventable?

    The word "osteoporosis" means "porous bone", and it occurs when bones become weak due to loss of minerals. Thus, the affected bones become more prone to break compared to the healthy bones.Bones are made up of different minerals, and calcium is one of those main minerals. It strengthens the bones...

  • Health Benefits of MSM Supplements

    What is MSM?MSM, or methylsulfonylmethane, is an organic compound containing sulfur, which has been used for improving the functions of the immune system, lowering inflammation caused in the body, and restoring healthy tissue.MSM has biologically-active sulfur, which is the fourth most plentiful...

  • Michael J. Fox's Impact on Parkinson’s Disease

    Michael J. FoxMichael J. Fox, born as Michael Andrew Fox in 1961, is a Canadian-born actor, who received his breakthrough in Family Ties, an American sitcom. He consecutively received three Emmy awards as lead actor in this comedy series. He was the lead character in the adventure comedy film, Back...

Nearby Providers

Nearest Hospitals

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAYl

865 STONE ST RAHWAY NJ 7065

Head east on Southfield Road 1430 ft
Turn right onto Oliver Avenue 1839 ft
Turn left onto Grove Avenue 1958 ft
Turn right onto Oak Tree Road (CR 604) 1.9 mi
Turn left onto Lincoln Highway (NJ 27) 2.0 mi
Continue straight onto Lincoln Avenue (NJ 27) 791 ft
Continue slightly left onto Saint George's Avenue (NJ 27) 1.2 mi
Turn left onto Stone Street 1408 ft
You have arrived at your destination, on the right

RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISIONl

530 NEW BRUNSWICK AVE PERTH AMBOY NJ 8861

Head east on Southfield Road 1430 ft
Turn right onto Oliver Avenue 1839 ft
Turn left onto Grove Avenue 1958 ft
Turn right onto Oak Tree Road (CR 604) 1.1 mi
Turn right onto Wood Avenue (CR 649) 3234 ft
Turn left onto Middlesex-Essex Turnpike (CR 657) 770 ft
Take the ramp on the right 1627 ft
Merge left onto Garden State Parkway (GSP) 1.6 mi
Take the ramp on the right towards I 95 1988 ft
Keep right at the fork towards US 9 2303 ft
Keep left at the fork 608 ft
Make a slight right 1104 ft
Continue straight onto King George's Post Road (NJ 184) 822 ft
Continue straight onto West Pond Road (NJ 184) 2818 ft
Continue straight onto Pfeiffer Boulevard (NJ 184) 2427 ft
Keep right at the fork onto Pfeiffer Boulevard (NJ 184) 324 ft
Continue straight onto Harding Avenue (NJ 184) 484 ft
Turn right onto Convery Boulevard (NJ 35) 3160 ft
Turn left onto New Brunswick Avenue (CR 616) 399 ft
You have arrived at your destination, on the right

JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITYl

65 JAMES STREET EDISON NJ 8818

Head south on Calvert Avenue West 3064 ft
Turn right onto Grove Avenue 2299 ft
Turn left onto James Street 1914 ft
Turn right 168 ft
Make a slight left 73 ft
You have arrived at your destination, on the right