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RATIKA GUPTA M.D.
NPI 1154611804
Allergy & Immunology in Iselin, NJ

Active since April 14, 2011PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
485 ROUTE 1 S, BLDG B STE 350, ISELIN, NJ 08830(732) 549-3934(732) 549-7250 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Mar 8, 2023, Jan 17, 2020 (3 updates tracked since 2020).

About Ratika Gupta M.d. NPPES

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

RATIKA GUPTA M.D. (NPI 1154611804) is an individual allergy & immunology provider in Iselin, New Jersey, licensed in New Jersey (25MA11723600) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2011).

NPPES Registry Identity

NPI1154611804
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameRATIKA GUPTACredential: M.D.
Location Address485 ROUTE 1 S, BLDG B STE 350Iselin, NJ 08830-3009
Mailing Address660 White Plains Rd Ste 400Tarrytown, NY 10591-5107 · (914) 984-2546
Phone(732) 549-3934
Fax(732) 549-7250
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2011
Enumeration DateApril 14, 2011
Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1154611804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in NJ · 25MA11723600✔ Licensed in NY · 280625
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
485 ROUTE 1 S, Iselin, NJ 08830
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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

Ratika Gupta M.d. 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 ID6103047105
PECOS Enrollment IDI20171003003960, I20230221002233
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.

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
6,197 services86 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
136 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
86 services86 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

BRIAN THOMAS HEMMERT LPC
Counselor (Professional)
485 ROUTE 1 S, BLDG C SUITE 130
ISELIN, NJ 08830
Middlesex County (732) 634-2811
WILLIAM ROBERT MARCOLINI OD
Optometrist
485 ROUTE 1 S, BLDG A
ISELIN, NJ 08830
Middlesex County (732) 750-0400
DR. KIMBERLEY OVITTORE O.D.
Optometrist
485 ROUTE 1 S
ISELIN, NJ 08830
Middlesex County (732) 750-0400
DANIELLE SAVITSKY STRAUSS MD
Ophthalmology
485 ROUTE 1 S, BUILDING A
ISELIN, NJ 08830
Middlesex County (732) 750-0400
DR. AMRIT KAUR MOONGA O.D.
Optometrist
485 ROUTE 1 S, BUILDING A
ISELIN, NJ 08830
Middlesex County (732) 510-2541
JEFFREY RYAN SPEERS O.D.
Optometrist
485 ROUTE 1 S, BUILDING A
ISELIN, NJ 08830
Middlesex County (732) 750-0400
DR. CARLY DANA CRAPANZANO O.D.
Optometrist
485 ROUTE 1 S, BUILDING A
ISELIN, NJ 08830
Middlesex County (732) 750-0400
FRANCES A TSAI OD
Optometrist
485 ROUTE 1 S, BUILDING A
ISELIN, NJ 08830
Middlesex County (732) 750-0400

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 Ratika Gupta's NPI number?

The NPI number for Ratika Gupta is 1154611804. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Ratika Gupta located?

Ratika Gupta practices at 485 Route 1 S Bldg B Ste 350, Iselin, NJ 08830. The listed phone number is (732) 549-3934.

What is Ratika Gupta's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Ratika Gupta enrolled in Medicare?

Yes. Ratika 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.

When was this NPI record last updated?

The NPPES record for Ratika Gupta was last updated on July 25, 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.