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DR. NEHA GUPTA MD
NPI 1609144633
Internal Medicine in Phoenix, AZ

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
70.3/100
CMS Quality Rating
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-2000 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Neha Gupta Md NPPES

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

DR. NEHA GUPTA MD (NPI 1609144633) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (49402) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1609144633
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEHA GUPTACredential: MD
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006
Mailing AddressPo Box 52680Phoenix, AZ 85072-2680 · (970) 395-7878 · Fax (970) 395-7880
Phone(602) 839-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 5, 2011
Last NPPES UpdateSeptember 14, 2018
✔ NPI 1609144633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 49402
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 49402 (AZ)
Also ListedHospitalistTaxonomy 208M00000X · License 49402 (AZ)
1111 E MCDOWELL RD, Phoenix, AZ 85006
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Secondary Practice Location 1

Location 16644 E Baywood Ave, Banner Baywood Medical CenterMesa, AZ 85206 · Phone (480) 321-3900 · Fax (480) 321-3840

Other Identifiers 1

Medicaid1609144633NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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. Neha Gupta Md 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 ID3476773318
PECOS Enrollment IDI20140929000092
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

7

Medicare enrollment records show Neha Gupta reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner - University Hospital Based Physicians LLC
1.4 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000
Laser Surgery Holding Company, Ltd
6.7 mi
Interventional Cardiology
2226 W NORTHERN AVE STE C212
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1295592731 (480) 444-7491
Phoenician Cardiac Care LLC
6.7 mi
Cardiovascular Disease
2228 W NORTHERN AVE # D-209
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1972113546 (480) 444-7464
Vituity - Arizona Hospitalists PC
14 mi
Hospitalist
19829 N 27TH AVE
Phoenix, AZ 85027
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group
NPI 1912629916 (623) 879-6100
Phoenician Medical Center, Inc
15 mi
Family Medicine
1343 N ALMA SCHOOL RD, STE 160
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 43 clinicians in this Medicare group
NPI 1891895637 (480) 963-1853
Phoenix Neurological Institute, Inc
15 mi
Neurology
1343 N ALMA SCHOOL RD, STE 160
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 53 clinicians in this Medicare group
NPI 1336319086 (480) 776-2892
Banner Hospital Based Physicians Arizona LLC
20 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034

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 5

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 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.
43 services33 patients
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.
19 services15 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
15 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

70.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.27
Improvement Activities40
Cost71.99

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$14.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$68.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. CARRIE LYNN COOK D.O.
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (480) 500-2540
DANA ARCHBOLD MD
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2296
ROBIN LAURIE MCFARLANE MD
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2266
ERICA KRIS MD
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2000
MS. MEREDITH ELIZABETH GATES PA
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-2000
ALEXANDRA LEIGH KLEBER ARNP
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (812) 525-4607
RACHEL SCHWARZ PA
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-6968
CRAIG ALAN WESTLEY
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006
Maricopa County (602) 839-4556

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 Neha Gupta's NPI number?

The NPI number for Neha Gupta is 1609144633. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Neha Gupta located?

Neha Gupta practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-2000.

What is Neha Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neha Gupta enrolled in Medicare?

Yes. Neha 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 Neha Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Gupta reassigns Medicare benefits to 7 organizations: Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Laser Surgery Holding Company, Ltd (Phoenix, AZ), Phoenician Cardiac Care LLC (Phoenix, AZ), Vituity - Arizona Hospitalists PC (Phoenix, AZ), Phoenician Medical Center, Inc (Chandler, AZ) and 2 more organizations, listed in the Medicare section above. 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 Neha Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neha Gupta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Neha 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 Neha Gupta was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.