NIDHI GUPTA M.D.
NPI 1568521367
Otolaryngology in Bronx, NY

Active since December 07, 2006PECOS EnrolledAccepts Medicare Assignment
1400 PELHAM PKWY S, BLDG 8, POD 2C, BRONX, NY 10461(718) 918-4784(718) 918-7379 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nidhi Gupta M.d. NPPES

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

NIDHI GUPTA M.D. (NPI 1568521367) is an individual otolaryngology provider in Bronx, New York, licensed in New York (265336) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2006).

NPPES Registry Identity

NPI1568521367
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameNIDHI GUPTACredential: M.D.
Location Address1400 PELHAM PKWY S, BLDG 8, POD 2CBronx, NY 10461-1138
Mailing Address1400 Pelham Pkwy S, Room 5n14Bronx, NY 10461-1138 · (718) 918-4784 · Fax (718) 918-7379
Fax(718) 918-7379
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2006
Enumeration DateDecember 7, 2006
Last NPPES UpdateAugust 27, 2012
✔ NPI 1568521367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NY · 265336✔ Licensed in OH · 35097336
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1400 PELHAM PKWY S, Bronx, NY 10461

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

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.

PECOS PAC ID7719155316
PECOS Enrollment IDI20160602000074
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 Nidhi Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
510 UPPER CHESAPEAKE DR STE 509
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
  • 36 clinicians in this Medicare group
Health Maintenance Organization
3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009

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 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461

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 Nidhi Gupta's NPI number?

The NPI number for Nidhi Gupta is 1568521367. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Nidhi Gupta located?

Nidhi Gupta practices at 1400 Pelham Pkwy S Bldg 8, Pod 2C, Bronx, NY 10461. The listed phone number is (718) 918-4784.

What is Nidhi Gupta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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 organizations bill Medicare for Nidhi Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Gupta reassigns Medicare benefits to 2 organizations: Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA (Bel Air, MD) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD). 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 Nidhi 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 Nidhi Gupta was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.