DR. PREETI GUPTA MD
NPI 1023135720
Psychiatry & Neurology - Neurology in East Providence, RI

Q: What is Preeti Gupta's NPI number?

The NPI number for Preeti Gupta is 1023135720. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Preeti Gupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Preeti Gupta was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment

375 WAMPANOAG TRAIL, SUITE 405B, EAST PROVIDENCE, RI 02915(401) 526-0100 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2024, Sep 3, 2019 (2 updates tracked since 2019).

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About Dr. Preeti Gupta Md NPPES

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

DR. PREETI GUPTA MD (NPI 1023135720) is an individual neurology provider in East Providence, Rhode Island, licensed in Massachusetts (269219) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Foxboro.

NPPES Registry Identity

NPI1023135720

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. PREETI GUPTACredential: MD

Location Address375 WAMPANOAG TRAIL, SUITE 405BEast Providence, RI 02915

Mailing Address375 Wampanoag Trail, Suite 405bEast Providence, RI 02915 · (401) 526-0100

Phone(401) 526-0100

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2006

Enumeration DateMarch 26, 2007

Last NPPES UpdateJune 13, 20242 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1023135720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MA · 269219

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

375 WAMPANOAG TRAIL, East Providence, RI 02915

Open in Google Maps ↗

Secondary Practice Location 1

Location 19 Payson Road, Suite 100Foxboro, MA 02035 · Phone (781) 551-5812

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Preeti Gupta Md 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 ID941459598

PECOS Enrollment IDI20120926000053

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.

Medicare Billing Reassignments

Medicare enrollment records show Preeti Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurologic Center For Epilepsy, LLC

Same address

Neurology

375 WAMPANOAG TRL STE 405B
East Providence, RI 02915

Reassigned Medicare billing, Rhode Island enrollment
2 clinicians in this Medicare group

NPI 1831975309 (401) 781-2400

Brown Neurology

3.3 mi

Neurology

593 EDDY STREET, APC 5
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
24 clinicians in this Medicare group

NPI 1366486102 (401) 444-3032

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

124 services99 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

66 services66 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

19 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services14 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 6

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

NICOLE FONTES DPT

Physical Therapist

375 WAMPANOAG TRAIL, SUITE 403
EAST PROVIDENCE, RI 02915

Providence County (401) 270-8770

ANTHONY M REGINATO MD

Internal Medicine (Rheumatology)

375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915

Providence County (401) 649-4040

EDWARD V LALLY MD

Internal Medicine (Rheumatology)

375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915

Providence County (401) 649-4040

ROBERT Y VELASCO M.D.

Internal Medicine

375 WAMPANOAG TRAIL
EAST PROVIDENCE, RI 02915

Providence County (401) 649-4050

STUART T SCHWARTZ MD

Internal Medicine (Rheumatology)

375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915

Providence County (401) 649-4040

ABHINAV KUMAR MISRA MBBS

Internal Medicine (Pulmonary Disease)

375 WAMPANOAG TRAIL, PULMONARY & SLEEP MEDICINE
RIVERSIDE, RI 02915

Providence County (401) 649-4070

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 Preeti Gupta's NPI number?

The NPI number for Preeti Gupta is 1023135720. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Preeti Gupta located?

Preeti Gupta practices at 375 Wampanoag Trail Suite 405B, East Providence, RI 02915. The listed phone number is (401) 526-0100.

What is Preeti Gupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Preeti Gupta enrolled in Medicare?

Yes. Preeti 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.

Which organizations bill Medicare for Preeti Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Preeti Gupta reassigns Medicare benefits to 2 organizations: Neurologic Center For Epilepsy, LLC (East Providence, RI) and Brown Neurology (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Preeti Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Preeti Gupta accept?

Health plans from Taro Health list Preeti 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.

Is Preeti Gupta affiliated with any hospitals?

According to CMS data, Preeti Gupta is affiliated with Southcoast Hospitals Group, South County Hospital Inc and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Preeti Gupta was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.