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: July 19, 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, maintains 2 additional practice locations, 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

Secondary Practice Locations 2

Location 114330 Culver DrIrvine, CA 92604-0303 · Phone (866) 389-2727
Location 2511 N Hollywood WayBurbank, CA 91505-3406 · Phone (866) 389-2727

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.

Physician Assistant
4714 FM 1488 RD STE 132
CONROE, TX 77384
Internal Medicine
4714 FM 1488 RD STE 132
CONROE, TX 77384
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003455387, enumerated as an "individual" on January 03, 2020.

The provider is located at 4714 FM 1488 RD STE 132 CONROE, TX 77384 and the phone number is (877) 868-2528.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.