NISHI GUPTA MD
NPI 1336373133
Internal Medicine in The Woodlands, TX

Active since May 07, 2009PECOS Enrolled
1111 MEDICAL PLAZA DR, SUITE 250, THE WOODLANDS, TX 77380(281) 587-5078(281) 465-4596 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nishi Gupta Md NPPES

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

NISHI GUPTA MD (NPI 1336373133) is an individual internal medicine provider in The Woodlands, Texas, licensed in Texas (P8359) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1336373133
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNISHI GUPTACredential: MD
Location Address1111 MEDICAL PLAZA DR, SUITE 250The Woodlands, TX 77380-3476
Mailing Address1111 Medical Plaza Dr, Suite 250The Woodlands, TX 77380-3476 · (281) 587-5078 · Fax (281) 465-4596
Fax(281) 465-4596
Sole ProprietorNo
Enumeration DateMay 7, 2009
Last NPPES UpdateAugust 23, 2019
✔ NPI 1336373133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · P8359✔ Licensed in LA · 205485
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 MEDICAL PLAZA DR, The Woodlands, TX 77380

Secondary Practice Location 1

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541

Other Identifiers 1

Medicaid2305654LA

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)

Nishi Gupta Md 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

3

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

Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Geriatric Medicine
4645 SWEETWATER BLVD STE 200
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 72 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 77380 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Physician Assistant (Surgical)
1111 MEDICAL PLAZA DR
SHENANDOAH, TX 77380
Nurse Practitioner (Acute Care)
1111 MEDICAL PLAZA DR
THE WOODLANDS, TX 77380
Nurse Practitioner
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Internal Medicine (Pulmonary Disease)
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Internal Medicine (Pulmonary Disease)
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Family Medicine
1111 MEDICAL PLAZA DR, SUITE 230
THE WOODLANDS, TX 77380
Internal Medicine
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Internal Medicine
1111 MEDICAL PLAZA DR, SUITE 190
THE WOODLANDS, TX 77380

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 Nishi Gupta's NPI number?

The NPI number for Nishi Gupta is 1336373133. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Nishi Gupta located?

Nishi Gupta practices at 1111 Medical Plaza Dr Suite 250, The Woodlands, TX 77380. The listed phone number is (281) 587-5078.

What is Nishi Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nishi Gupta enrolled in Medicare?

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

Which organizations bill Medicare for Nishi Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishi Gupta reassigns Medicare benefits to 3 organizations: Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Tmh Physician Associates PLLC (Houston, TX) and Houston In Patient Physician Associates PLLC (Sugar Land, TX). 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 Nishi Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishi Gupta accept?

Health plans from Blue Cross and Blue Shield of Texas list Nishi 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 Nishi Gupta was last updated on August 23, 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.