PIYUSH GUPTA MD
NPI 1023508371
Transplant Surgery in Worcester, MA

Active since May 12, 2018PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2025, Jul 13, 2025, Jun 18, 2019 and 1 more (4 updates tracked since 2018).

About Piyush Gupta Md NPPES

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

PIYUSH GUPTA MD (NPI 1023508371) is an individual transplant surgery provider in Worcester, Massachusetts, licensed in District Of Columbia (MD210011645) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1023508371
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NamePIYUSH GUPTACredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 12, 2018
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1023508371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in DC · MD210011645
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Location 1

Location 120 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

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

Piyush 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 ID3779831524
PECOS Enrollment IDI20250929001986
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 Reassignment

Medicare enrollment records show Piyush Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Piyush Gupta's NPI number?

The NPI number for Piyush Gupta is 1023508371. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Where is Piyush Gupta located?

Piyush Gupta practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Piyush Gupta's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Piyush Gupta enrolled in Medicare?

Yes. Piyush 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 organization bills Medicare for Piyush Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Piyush Gupta reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Piyush Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Piyush Gupta was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.