DR. POOJA GUPTA MD
NPI 1205044062
Internal Medicine - Pulmonary Disease in Memphis, TN

Q: What is Pooja Gupta's NPI number?

The NPI number for Pooja Gupta is 1205044062. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Pooja Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Pooja Gupta was last updated on January 26, 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 May 17, 2007PECOS EnrolledAccepts Medicare Assignment

880 MADISON AVE, MEMPHIS, TN 38103(901) 545-6969(901) 545-4748 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2023, Nov 8, 2017 (2 updates tracked since 2017).

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About Dr. Pooja Gupta Md NPPES

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

DR. POOJA GUPTA MD (NPI 1205044062) is an individual pulmonary disease provider in Memphis, Tennessee, licensed in Tennessee (66968) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205044062

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. POOJA GUPTACredential: MD

Location Address880 MADISON AVEMemphis, TN 38103-3409

Mailing Address900 Main St Ste 630Peoria, IL 61602-5024 · (309) 672-4433

Phone(901) 545-6969

Fax(901) 545-4748

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateMay 17, 2007

Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1205044062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TN · 66968✔ Licensed in NE · 6462

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2006013138 (MO)

880 MADISON AVE, Memphis, TN 38103

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Other Identifiers 1

Other036123061IL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Dr. Pooja Gupta 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 ID1052592029

PECOS Enrollment IDI20230130001717

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

Ut Regional One Physicians Inc

0.1 mi

Surgery

877 JEFFERSON AVE
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
421 clinicians in this Medicare group

NPI 1093130585 (901) 545-8336

Methodist Medical Center Of Illinois

384 mi

Family Medicine

120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603

Reassigned Medicare billing, Illinois enrollment
693 clinicians in this Medicare group

NPI 1184670663 (309) 671-8230

Proctor Health Systems

388 mi

Family Medicine

5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
349 clinicians in this Medicare group

NPI 1134173917 (309) 689-6049

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

95 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

8 suppliers109 claims109 services$36.40 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

7 suppliers113 claims230 services$1.39 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers32 claims32 services$14.47 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

2 suppliers17 claims18 services$1.20 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers85 claims85 services$85.55 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers87 claims178 services$33.91 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers26 claims111 services$18.45 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

5 suppliers37 claims156 services$15.01 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers52 claims52 services$56.12 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers88 claims88 services$18.77 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers11 claims11 services$15.10 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

9 suppliers143 claims727 services$2.19 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

4 suppliers11 claims11 services$6.23 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers40 claims40 services$11.25 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers178 claims178 services$16.56 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier28 claims28 services$916.12 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers52 claims52 services$824.69 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers51 claims53 services$14.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers41 claims41 services$5.65 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers116 claims119 services$39.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers428 claims428 services$85.44 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers148 claims148 services$31.50 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers29 claims2,220 services$5.11 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

14 suppliers287 claims20,760 services$6.50 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

17 suppliers131 claims30,645 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers19 claims2,640 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

24 suppliers350 claims25,996 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

6 suppliers74 claims4,928 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

9 suppliers232 claims1,228,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

23 suppliers445 claims445 services$25.55 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

21 suppliers48 claims48 services$49.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHELLE L RUSH MSN, APRN, BC

Nurse Practitioner (Family)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-6969

HANNAH SMITH PHARM.D.

Pharmacist

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-6256

DR. KARL WEBER MD

Internal Medicine (Cardiovascular Disease)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-6969

ADELA CASTRO GUTIERREZ MD

Internal Medicine (Rheumatology)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7259

DR. MACY MARIA GARCIA PHARMD

Pharmacy (Specialty Pharmacy)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7970

SYED HASAN RAZA M.D.

Internal Medicine (Rheumatology)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-6969

NADENE BARKER NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7446

KIRAN JOGLEKAR

Internal Medicine (Gastroenterology)

880 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-6969

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 Pooja Gupta's NPI number?

The NPI number for Pooja Gupta is 1205044062. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Pooja Gupta located?

Pooja Gupta practices at 880 Madison Ave, Memphis, TN 38103. The listed phone number is (901) 545-6969.

What is Pooja Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pooja Gupta enrolled in Medicare?

Yes. Pooja 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.

Which organizations bill Medicare for Pooja Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Gupta reassigns Medicare benefits to 3 organizations: Ut Regional One Physicians Inc (Memphis, TN), Methodist Medical Center Of Illinois (Peoria, IL) and Proctor Health Systems (Peoria, IL). 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 Pooja Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Gupta accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Pooja 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.

Is Pooja Gupta affiliated with any hospitals?

According to CMS data, Pooja Gupta is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Pooja Gupta was last updated on January 26, 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.