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DR. PRASHANT GUPTA M.D.
NPI 1295915395
General Practice in Kaplan, LA

Active since November 06, 2007PECOS EnrolledAccepts Medicare Assignment
801 N MONTGOMERY AVE, KAPLAN, LA 70548(337) 643-8400(337) 643-1544 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prashant Gupta M.d. NPPES

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

DR. PRASHANT GUPTA M.D. (NPI 1295915395) is an individual general practice provider in Kaplan, Louisiana, licensed in Louisiana (201782) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Tulane University School Of Medicine (2005).

NPPES Registry Identity

NPI1295915395
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PRASHANT GUPTACredential: M.D.
Location Address801 N MONTGOMERY AVEKaplan, LA 70548-2007
Mailing Address801 N Montgomery AveKaplan, LA 70548-2007 · (337) 643-8400 · Fax (337) 643-1544
Phone(337) 643-8400
Fax(337) 643-1544
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2005
Enumeration DateNovember 6, 2007
Last NPPES UpdateJune 27, 2016
✔ NPI 1295915395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in LA · 201782
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 201782 (LA)
801 N MONTGOMERY AVE, Kaplan, LA 70548
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Other Identifiers 2

Medicare UPIN255828YJ7ULA
Medicaid1500305LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.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

Dr. Prashant Gupta M.d. 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 ID3476639915
PECOS Enrollment IDI20080325000414
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
141 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services111 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
77 services72 patients
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.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Regional Medical Center

Acute Care Hospitals · Ville Platte, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190167
Location800 E MainVille Platte, LA 70586 · Evangeline County
Emergency services

Bunkie General Hospital

Critical Access Hospitals · Bunkie, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191311
Location427 Evergreen StreetBunkie, LA 71322 · Avoyelles County
Emergency services

Abrom Kaplan Memorial Hospital

Critical Access Hospitals · Kaplan, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191322
Location1310 West Seventh StreetKaplan, LA 70548 · Vermilion County
Emergency services

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDREN & ADOLESCENT CLINIC
Clinic/Center (Health Service)
801 N MONTGOMERY AVE
KAPLAN, LA 70548
Vermilion Parish (337) 643-8400
RENEE CLAIRE SONS FNP-C
Nurse Practitioner (Family)
801 N MONTGOMERY AVE
KAPLAN, LA 70548
Vermilion Parish (337) 643-8400

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 Prashant Gupta's NPI number?

The NPI number for Prashant Gupta is 1295915395. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Prashant Gupta located?

Prashant Gupta practices at 801 N Montgomery Ave, Kaplan, LA 70548. The listed phone number is (337) 643-8400.

What is Prashant Gupta's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Prashant Gupta enrolled in Medicare?

Yes. Prashant 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.

What insurance does Prashant Gupta accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Prashant 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 Prashant Gupta affiliated with any hospitals?

According to CMS data, Prashant Gupta is affiliated with Mercy Regional Medical Center, Bunkie General Hospital and Abrom Kaplan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Gupta was last updated on June 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.