BABITA UPRETI
NPI 1023711751
Nurse Practitioner - Gerontology in Colleyville, TX

Q: What is Babita Upreti's NPI number?

The NPI number for Babita Upreti is 1023711751. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Babita Upreti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Babita Upreti was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 22, 2023PECOS Enrolled

7016 AVERY LN, COLLEYVILLE, TX 76034(682) 553-5416 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2023, Apr 11, 2023, Mar 22, 2023 (3 updates tracked since 2023).

On this page

About Babita Upreti NPPES

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

BABITA UPRETI (NPI 1023711751) is an individual gerontology provider in Colleyville, Texas, licensed in Texas (1117021) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colleyville.

NPPES Registry Identity

NPI1023711751

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameBABITA UPRETI

Location Address7016 AVERY LNColleyville, TX 76034-1120

Mailing Address7016 Avery LnColleyville, TX 76034-1120 · (682) 553-5416

Phone(682) 553-5416

Sole ProprietorYes

Enumeration DateMarch 22, 2023

Last NPPES UpdateMay 2, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1023711751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in TX · 1117021✔ Licensed in TX · 766180

7016 AVERY LN, Colleyville, TX 76034

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Secondary Practice Location 1

Location 17016 Avery LnColleyville, TX 76034-1120 · Phone (682) 553-5416

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Babita Upreti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Babita Upreti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Burnaby Medical Group LLC

0.1 mi

Internal Medicine

6909 BENJAMIN WAY
Colleyville, TX 76034

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1104510577 (405) 694-3989

Gulf Shoals PLLC

11 mi

Family Medicine

3100 PETERS COLONY RD
Flower Mound, TX 75022

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1497515894 (469) 443-6127

Infinite Medical PC

1,543 mi

Family Medicine

7 CREEK LN
Bristol, RI 02809

Reassigned Medicare billing, Texas enrollment
155 clinicians in this Medicare group

NPI 1407483175 (718) 964-6161

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 6

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

1,596 services76 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,576 services80 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

160 services42 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

94 services18 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

57 services44 patients

Advance care planning, each additional 30 minutes 99498

Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.

53 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76034 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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 Babita Upreti's NPI number?

The NPI number for Babita Upreti is 1023711751. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Babita Upreti located?

Babita Upreti practices at 7016 Avery Ln, Colleyville, TX 76034. The listed phone number is (682) 553-5416.

What is Babita Upreti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Babita Upreti enrolled in Medicare?

Yes. Babita Upreti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Babita Upreti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babita Upreti reassigns Medicare benefits to 3 organizations: Burnaby Medical Group LLC (Colleyville, TX), Gulf Shoals PLLC (Flower Mound, TX) and Infinite Medical PC (Bristol, 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 Babita Upreti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Babita Upreti accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Oscar Insurance Company list Babita Upreti 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 Babita Upreti was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.