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DR. RAJESH KUMAR GUPTA M.D.
NPI 1558674747
Psychiatry & Neurology - Clinical Neurophysiology in Houston, TX

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
8901 BOONE RD, HOUSTON, TX 77099(281) 454-0500(713) 512-2239 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rajesh Kumar Gupta M.d. NPPES

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

DR. RAJESH KUMAR GUPTA M.D. (NPI 1558674747) is an individual clinical neurophysiology provider in Houston, Texas, licensed in Texas (S2985) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558674747
Entity TypeIndividualMale
Primary Taxonomy2084N0600X
Provider Legal NameDR. RAJESH KUMAR GUPTACredential: M.D.
Location Address8901 BOONE RDHouston, TX 77099
Mailing Address6431 Fannin St Ste 7.044Houston, TX 77030-1501 · (832) 325-7080 · Fax (713) 512-2239
Phone(281) 454-0500
Fax(713) 512-2239
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 16, 2010
Last NPPES UpdateSeptember 27, 2019
✔ NPI 1558674747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License✔ Licensed in TX · S2985
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License S2985 (TX)
8901 BOONE RD, Houston, TX 77099
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 High St, Deptt of NeurologyBuffalo, NY 14203-1126 · Phone (224) 200-0238
Location 26410 Fannin St Ste 1014Houston, TX 77030-5301 · Phone (832) 325-7080 · Fax (713) 512-2239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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. Rajesh Kumar 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 ID8729206420
PECOS Enrollment IDI20191119000956
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

2

Medicare enrollment records show Rajesh Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians
11 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Ut Physicians
11 mi
Neurological Surgery
6400 FANNIN ST STE 2800
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 263 clinicians in this Medicare group
NPI 1265096317 (713) 704-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

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.

DR. MICHELLE DENISE TEDJA M.D.
Pediatrics
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0500
SICILY V GARNER
Counselor
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0500
DR. DESTINY OKPOMO PHARMD.
Pharmacist
8901 BOONE RD
HOUSTON, TX 77099
Harris County (713) 516-2000
MR. DANH CONG PHAM
Pharmacist
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0760
CHAU NGOC VI O.D.
Optometrist
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0500
DR. RAMIL CADUNGOG MD
Family Medicine
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0500
MR. THOMAS PAUL SNOW LCSW
Social Worker
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0537
DR. LEEANN LAM D.O.
Family Medicine
8901 BOONE RD
HOUSTON, TX 77099
Harris County (281) 454-0500

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 Rajesh Gupta's NPI number?

The NPI number for Rajesh Gupta is 1558674747. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Rajesh Gupta located?

Rajesh Gupta practices at 8901 Boone Rd, Houston, TX 77099. The listed phone number is (281) 454-0500.

What is Rajesh Gupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is Rajesh Gupta enrolled in Medicare?

Yes. Rajesh 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 organizations bill Medicare for Rajesh Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Gupta reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Ut Physicians (Houston, 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 Rajesh Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajesh Gupta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Rajesh 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 Rajesh Gupta affiliated with any hospitals?

According to CMS data, Rajesh Gupta is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Harris Health System, Memorial Hermann Memorial City Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Rajesh Gupta was last updated on September 27, 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.