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PRIYA GUPTA DO
NPI 1528564598
Emergency Medicine - Pediatric Emergency Medicine in Albuquerque, NM

Active since March 30, 2018PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO, MSC 11 6025, DEPT OF EMERGENCY MEDICINE, ALBUQUERQUE, NM 87131(505) 272-9432 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 4, 2023, May 6, 2020, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Priya Gupta Do NPPES

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

PRIYA GUPTA DO (NPI 1528564598) is an individual pediatric emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (DO2023-1026) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528564598
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NamePRIYA GUPTACredential: DO
Location Address1 UNIVERSITY OF NEW MEXICO, MSC 11 6025, DEPT OF EMERGENCY MEDICINEAlbuquerque, NM 87131
Mailing Address1 University Of Mexico, Msc 11 6025, Dept Of Emergency MedicineAlbuquerque, NM 87131
Phone(505) 272-9432
Sole ProprietorYes
Enumeration DateMarch 30, 2018
Last NPPES UpdateJuly 4, 20234 updates tracked since enumeration
NPPES CertifiedJuly 4, 2023
✔ NPI 1528564598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in NM · DO2023-1026
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
1 UNIVERSITY OF NEW MEXICO, MSC 11 6025, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Gupta Do 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 Reassignment

Medicare enrollment records show Priya Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Acute Care Specialists PC
1,110 mi
Emergency Medicine
101 SW MAIN ST STE 940
Portland, OR 97204
  • Reassigned Medicare billing, Oregon enrollment
  • 163 clinicians in this Medicare group
NPI 1215983200 (503) 464-9034

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 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Priya Gupta's NPI number?

The NPI number for Priya Gupta is 1528564598. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Priya Gupta located?

Priya Gupta practices at 1 University Of New Mexico, Msc 11 6025 Dept Of Emergency Medicine, Albuquerque, NM 87131. The listed phone number is (505) 272-9432.

What is Priya Gupta's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Priya Gupta enrolled in Medicare?

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

Which organization bills Medicare for Priya Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Gupta reassigns Medicare benefits to Northwest Acute Care Specialists PC (Portland, OR). 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 Priya Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Gupta was last updated on July 4, 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.