NEELUM GUPTA M.D.
NPI 1811901309
Internal Medicine in Berkley, MI

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
1695 W 12 MILE RD, SUITE 200, BERKLEY, MI 48072(248) 548-9090(248) 548-8462 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neelum Gupta M.d. NPPES

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

NEELUM GUPTA M.D. (NPI 1811901309) is an individual internal medicine provider in Berkley, Michigan, licensed in Michigan (4301066816) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1811901309
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEELUM GUPTACredential: M.D.
Location Address1695 W 12 MILE RD, SUITE 200Berkley, MI 48072-2182
Mailing Address1695 W 12 Mile Rd, Suite 200Berkley, MI 48072-2182 · (248) 548-9090 · Fax (248) 548-8462
Fax(248) 548-8462
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 28, 2006
Last NPPES UpdateMay 3, 2016
NPI 1811901309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301066816
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.

1695 W 12 MILE RD, Berkley, MI 48072

Other Identifiers 6

Medicaid1811901309MI
Medicare OSCAR/certification0F37128050MI
Medicare PIN0F37128MI
Medicare UPINH64909MI
Medicaid4715799MI
Other0F37128MI · Bcbsm

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Neelum 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 ID3072573823
PECOS Enrollment IDI20041015000221
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.

Areas of Expertise CMS Part B claims 35

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.
707 services220 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
636 services94 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
166 services131 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.
150 services105 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
133 services65 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
121 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48072 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers54 claims142 services$6.87 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers25 claims25 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers29 claims40 services$1.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers25 claims25 services$201.26 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
1695 W 12 MILE RD, STE 200
BERKLEY, MI 48072
Psychologist (Clinical)
1695 W 12 MILE RD, SUITE 120
BERKLEY, MI 48072
Internal Medicine
1695 W 12 MILE RD, SUITE 200
BERKLEY, MI 48072
Internal Medicine (Nephrology)
1695 W 12 MILE RD, SUITE 250
BERKLEY, MI 48072
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1695 W 12 MILE RD, SUITE 250
BERKLEY, MI 48072
Pediatrics (Developmental - Behavioral Pediatrics)
1695 W 12 MILE RD, STE. 120
BERKLEY, MI 48072
Podiatrist
1695 W 12 MILE RD
BERKLEY, MI 48072
Internal Medicine
1695 W 12 MILE RD, SUITE 200
BERKLEY, MI 48072

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 Neelum Gupta's NPI number?

The NPI number for Neelum Gupta is 1811901309. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Neelum Gupta located?

Neelum Gupta practices at 1695 W 12 Mile Rd Suite 200, Berkley, MI 48072. The listed phone number is (248) 548-9090.

What is Neelum Gupta's specialty?

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

Is Neelum Gupta enrolled in Medicare?

Yes. Neelum 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.

What insurance does Neelum Gupta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Neelum 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 Neelum Gupta affiliated with any hospitals?

According to CMS data, Neelum Gupta is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Neelum Gupta was last updated on May 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.