NEHA GUPTA DO
NPI 1235691262
Hospitalist in New Hyde Park, NY

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3377 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2024, Jul 7, 2022 (2 updates tracked since 2022).

About Neha Gupta Do NPPES

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

NEHA GUPTA DO (NPI 1235691262) is an individual hospitalist provider in New Hyde Park, New York, licensed in New York (316948-01) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1235691262
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNEHA GUPTACredential: DO
Location Address27005 76TH AVENew Hyde Park, NY 11040-1496
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1496 · (718) 470-3377
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1235691262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 316948-01
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 316948-01 (NY)
27005 76TH AVE, New Hyde Park, NY 11040

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

Neha Gupta Do 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 ID3072841816
PECOS Enrollment IDI20220821000116
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
364 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services81 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
55 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier12 claims12 services$56.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.24 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.

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

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 Neha Gupta's NPI number?

The NPI number for Neha Gupta is 1235691262. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Neha Gupta located?

Neha Gupta practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3377.

What is Neha Gupta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Neha Gupta enrolled in Medicare?

Yes. Neha 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.

Is Neha Gupta affiliated with any hospitals?

According to CMS data, Neha Gupta is affiliated with Lenox Hill Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Neha Gupta was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.