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CAROL L BAUM-GUPTA
NPI 1598922809
Pediatrics - Developmental - Behavioral Pediatrics in Pawtucket, RI

Active since May 22, 2008PECOS Enrolled
555 PROSPECT STREET, PAWTUCKET, RI 02860(401) 729-6200(401) 729-6203 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carol L Baum-gupta NPPES

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

CAROL L BAUM-GUPTA (NPI 1598922809) is an individual developmental - behavioral pediatrics provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD12633) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598922809
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameCAROL L BAUM-GUPTA
Location Address555 PROSPECT STREETPawtucket, RI 02860
Mailing Address111 Brewster Street, Wood Bldg #516Pawtucket, RI 02860
Phone(401) 729-6200
Fax(401) 729-6203
Sole ProprietorNo
Enumeration DateMay 22, 2008
Last NPPES UpdateSeptember 2, 2011
✔ NPI 1598922809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in RI · MD12633
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
555 PROSPECT STREET, Pawtucket, RI 02860
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Other Identifiers 2

Other002284501RI · Medicare Ptan
MedicaidCB85575RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol L Baum-gupta 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 Carol Baum-gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pratt Pediatric Associates Inc
37 mi
Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 clinicians in this Medicare group
NPI 1477590511 (617) 636-5000

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

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 Carol Baum-gupta's NPI number?

The NPI number for Carol Baum-gupta is 1598922809. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Carol Baum-gupta located?

Carol Baum-gupta practices at 555 Prospect Street, Pawtucket, RI 02860. The listed phone number is (401) 729-6200.

What is Carol Baum-gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Carol Baum-gupta enrolled in Medicare?

Yes. Carol Baum-gupta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Baum-gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Baum-gupta reassigns Medicare benefits to Pratt Pediatric Associates Inc (Boston, MA). 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 Carol Baum-gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Baum-gupta accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Carol Baum-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 Carol Baum-gupta was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.