DR. NIDHI GUPTA M.D
NPI 1407138639
Student in an Organized Health Care Education/Training Program in Stony Brook, NY
About Dr. Nidhi Gupta M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIDHI GUPTA M.D (NPI 1407138639) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
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. Nidhi 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.
Medicare Billing Reassignment
Medicare enrollment records show Nidhi Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Abingdon, MD 21009
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1952461816 (District of Columbia)
- 1,253 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Silver Spring, MDFrequently 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 Nidhi Gupta's NPI number?
The NPI number for Nidhi Gupta is 1407138639. It was assigned to this individual provider in the NPPES registry on September 14, 2011.
Where is Nidhi Gupta located?
Nidhi Gupta practices at Suny @ Stony Brook, Dept Of Neurology Health Science Center T12-020, Stony Brook, NY 11794. The listed phone number is (631) 444-7878.
What is Nidhi Gupta's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nidhi Gupta enrolled in Medicare?
Yes. Nidhi 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 organization bills Medicare for Nidhi Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Gupta reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD). The 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 Nidhi Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nidhi Gupta affiliated with any hospitals?
According to CMS data, Nidhi Gupta is affiliated with Holy Cross Hospital.
When was this NPI record last updated?
The NPPES record for Nidhi Gupta was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Nidhi Gupta, M.D · NPI 1407138639
Student in an Organized Health Care Education/Training Program provider in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since September 14, 2011.
## Identity
- **NPI:** 1407138639 (Entity type: Individual)
- **Enumerated:** September 14, 2011
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** SUNY @ STONY BROOK, DEPT OF NEUROLOGY, HEALTH SCIENCE CENTER T12-020, Stony Brook, NY 11794-8121
- **Phone:** (631) 444-7878 · **Fax:** (631) 632-2451
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1265971873, Abingdon, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407138639) · Data from the CMS NPPES public registry.