NISHA GUPTA M.D.
NPI 1609294248
Pediatrics in Falls Church, VA

Q: What is Nisha Gupta's NPI number?

The NPI number for Nisha Gupta is 1609294248. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Nisha Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Gupta was last updated on March 7, 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.

Active since April 01, 2014PECOS Enrolled

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Feb 27, 2021, Mar 17, 2020 and 3 more (6 updates tracked since 2017).

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About Nisha Gupta M.d. NPPES

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

NISHA GUPTA M.D. (NPI 1609294248) is an individual pediatrics provider in Falls Church, Virginia, licensed in Virginia (0101266536) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609294248

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNISHA GUPTACredential: M.D.

Location Address3300 GALLOWS RDFalls Church, VA 22042

Mailing Address3300 Gallows RdFalls Church, VA 22042-3307 · (703) 776-4001

Phone(703) 776-4001

Fax(703) 776-7113

Sole ProprietorYes

Enumeration DateApril 1, 2014

Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2021

✔ NPI 1609294248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in VA · 0101266536✔ Licensed in CA · 149187

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3300 GALLOWS RD, Falls Church, VA 22042

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Secondary Practice Locations 3

Location 1550 16th StSan Francisco, CA 94158-2545 · Phone (415) 476-5190

Location 22500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486

Location 31840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar 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)

Nisha Gupta M.d. 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 Reassignments

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

Inova Health Care Services

Same address

Internal Medicine

3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042

Reassigned Medicare billing, District of Columbia and Virginia enrollments
Also billed through NPI 1588717755 (Virginia)
2,618 clinicians in this Medicare group

NPI 1952320061 (703) 321-2627

Winchester Medical Center

53 mi

Family Medicine

217 GROCERY AVENUE, SUITE B
Winchester, VA 22602

Reassigned Medicare billing, Virginia enrollment
756 clinicians in this Medicare group

NPI 1689463671 (540) 536-7700

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 22042 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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.

ALLISON ELIZABETH TWEEDIE MD

Psychiatry & Neurology (Psychiatry)