POONAM GUPTA
NPI 1003455387
Nurse Practitioner - Family in Conroe, TX

Active since January 03, 2020PECOS EnrolledAccepts Medicare Assignment
4714 FM 1488 RD STE 132, CONROE, TX 77384(877) 868-2528 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Poonam Gupta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POONAM GUPTA (NPI 1003455387) is an individual family provider in Conroe, Texas, licensed in Texas (AP143718) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003455387
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePOONAM GUPTA
Location Address4714 FM 1488 RD STE 132Conroe, TX 77384-4930
Mailing Address4714 Fm 1488 Rd Ste 132Conroe, TX 77384-4930
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 3, 2020
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1003455387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · AP143718 Licensed in CA · 95018938
4714 FM 1488 RD STE 132, Conroe, TX 77384

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Poonam Gupta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012344310
PECOS Enrollment IDI20200226002167
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4714 FM 1488 RD STE 132
CONROE, TX 77384
Internal Medicine
4714 FM 1488 RD STE 132
CONROE, TX 77384
Nurse Practitioner (Family)
4714 FM 1488 RD STE 132
CONROE, TX 77384
Nurse Practitioner (Family)
4714 FM 1488 RD STE 132
CONROE, TX 77384
Nurse Practitioner (Family)
4714 FM 1488 RD STE 132
CONROE, TX 77384
Nurse Practitioner (Adult Health)
4714 FM 1488 RD STE 132
CONROE, TX 77384
Internal Medicine
4714 FM 1488 RD STE 132
CONROE, TX 77384
Physician Assistant
4714 FM 1488 RD STE 132
CONROE, TX 77384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poonam Gupta's NPI number?

The NPI number for Poonam Gupta is 1003455387. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Poonam Gupta located?

Poonam Gupta practices at 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384. The listed phone number is (877) 868-2528.

What is Poonam Gupta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Poonam Gupta enrolled in Medicare?

Yes. Poonam Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Poonam Gupta accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Poonam Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poonam Gupta was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.