NALINI GUPTA MBBS,DCH
NPI 1194809111
Pediatrics in Spokane, WA

Active since October 25, 2006PECOS Enrolled
310 N RIVERPOINT BLVD, SPOKANE, WA 99202(509) 505-7481(509) 606-2515 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2023, May 25, 2021, May 23, 2017 (3 updates tracked since 2017).

About Nalini Gupta Mbbs,dch NPPES

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

NALINI GUPTA MBBS,DCH (NPI 1194809111) is an individual pediatrics provider in Spokane, Washington, licensed in Washington (MD60095203) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194809111
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNALINI GUPTACredential: MBBS,DCH
Location Address310 N RIVERPOINT BLVDSpokane, WA 99202-1610
Mailing Address412 E Spokane Falls Blvd # 1495Spokane, WA 99202-2131 · (509) 990-5900 · Fax (509) 606-2515
Fax(509) 606-2515
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1194809111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · MD60095203✔ Licensed in GA · 050019
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.
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License MD60095203 (WA)
310 N RIVERPOINT BLVD, Spokane, WA 99202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nalini Gupta Mbbs,dch 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

2

Medicare enrollment records show Nalini Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 862 clinicians in this Medicare group
Multi-Specialty
2930 MAPLE ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Student in an Organized Health Care Education/Training Program
310 N RIVERPOINT BLVD
SPOKANE, WA 99202
Student in an Organized Health Care Education/Training Program
310 N RIVERPOINT BLVD
SPOKANE, WA 99202
Student in an Organized Health Care Education/Training Program
310 N RIVERPOINT BLVD
SPOKANE, WA 99202
Occupational Therapist
310 N RIVERPOINT BLVD, BOX R
SPOKANE, WA 99202
Student in an Organized Health Care Education/Training Program
310 N RIVERPOINT BLVD
SPOKANE, WA 99202
Student in an Organized Health Care Education/Training Program
310 N RIVERPOINT BLVD
SPOKANE, WA 99202
Speech-Language Pathologist
310 N RIVERPOINT BLVD
SPOKANE, WA 99202
Student in an Organized Health Care Education/Training Program
310 N RIVERPOINT BLVD
SPOKANE, WA 99202

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 Nalini Gupta's NPI number?

The NPI number for Nalini Gupta is 1194809111. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Nalini Gupta located?

Nalini Gupta practices at 310 N Riverpoint Blvd, Spokane, WA 99202. The listed phone number is (509) 505-7481.

What is Nalini Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nalini Gupta enrolled in Medicare?

Yes. Nalini Gupta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nalini Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nalini Gupta reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Spokane, WA) and Kaiser Foundation Health Plan Of Washington (Everett, WA). 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 Nalini Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nalini Gupta accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nalini Gupta 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 Nalini Gupta was last updated on October 18, 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.