RUCHI GUPTA MAHAJAN MD
NPI 1194272476
Pediatrics in Flushing, NY
About Ruchi Gupta Mahajan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUCHI GUPTA MAHAJAN MD (NPI 1194272476) is an individual pediatrics provider in Flushing, New York, licensed in Foreign Country (MCI/10-37475) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ruchi Gupta Mahajan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ruchi Gupta Mahajan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spencer, NC 28159
- Reassigned Medicare billing, North Carolina enrollment
- 1,646 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLUSHING, NY 11355
FLUSHING, NY 11355
FLUSHING, NY 11355
FLUSHING, NY 11355
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 Ruchi Gupta Mahajan's NPI number?
The NPI number for Ruchi Gupta Mahajan is 1194272476. It was assigned to this individual provider in the NPPES registry on September 5, 2016.
Where is Ruchi Gupta Mahajan located?
Ruchi Gupta Mahajan practices at 4332 Kissena Blvd Apt 3 V, Flushing, NY 11355. The listed phone number is (347) 330-1596.
What is Ruchi Gupta Mahajan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ruchi Gupta Mahajan enrolled in Medicare?
Yes. Ruchi Gupta Mahajan 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 Ruchi Gupta Mahajan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruchi Gupta Mahajan reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Spencer, NC) and Carolinas Medical Center (Concord, NC). 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 Ruchi Gupta Mahajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruchi Gupta Mahajan accept?
Health plans from BlueCross BlueShield of South Carolina and InStil Health list Ruchi Gupta Mahajan 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 Ruchi Gupta Mahajan affiliated with any hospitals?
According to CMS data, Ruchi Gupta Mahajan is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Ruchi Gupta Mahajan was last updated on March 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ruchi Gupta Mahajan, MD · NPI 1194272476
Pediatrics physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since September 5, 2016.
## Identity
- **NPI:** 1194272476 (Entity type: Individual)
- **Enumerated:** September 5, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MCI/10-37475 (ZZ)
- **Sole proprietor:** No
## Practice location
- **Address:** 4332 KISSENA BLVD, APT 3 V, Flushing, NY 11355-2934
- **Phone:** (347) 330-1596
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1730319682, Spencer, NC); Carolinas Medical Center (NPI 1467790055, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1194272476) · Data from the CMS NPPES public registry.