RUCHI GUPTA MAHAJAN MD
NPI 1194272476
Pediatrics in Flushing, NY

Active since September 05, 2016PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
4332 KISSENA BLVD, APT 3 V, FLUSHING, NY 11355(347) 330-1596 Get Directions Write a Review

NPPES record last updated: March 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1194272476
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRUCHI GUPTA MAHAJANCredential: MD
Location Address4332 KISSENA BLVD, APT 3 VFlushing, NY 11355-2934
Mailing Address4332 Kissena Blvd, Apt 3 VFlushing, NY 11355-2934 · (347) 330-1596
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 5, 2016
Last NPPES UpdateMarch 9, 2019
NPI 1194272476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in ZZ · MCI/10-37475
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4332 KISSENA BLVD, Flushing, NY 11355

Accepted Insurance

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

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.

PECOS PAC ID8224425228
PECOS Enrollment IDI20241114000227
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.

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, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician 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.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, 12G
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, APT. 11J
FLUSHING, NY 11355
Urology
4332 KISSENA BLVD, SUITE LA
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, APT 12L
FLUSHING, NY 11355
Dentist
4332 KISSENA BLVD, #8V/1
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4332 KISSENA BLVD, APT. 14M
FLUSHING, NY 11355
Internal Medicine
4332 KISSENA BLVD, LA
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.

What insurance does Ruchi Gupta Mahajan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers 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.