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INDU GUPTA M.D.
NPI 1831125624
Pediatrics - Pediatric Emergency Medicine in Modesto, CA

Active since June 23, 2006PECOS Enrolled
4125 BANGS AVE, MODESTO, CA 95356(209) 557-1722(209) 557-1685 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indu Gupta M.d. NPPES

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

INDU GUPTA M.D. (NPI 1831125624) is an individual pediatric emergency medicine provider in Modesto, California, licensed in Ohio (35-08-2875) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831125624
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameINDU GUPTACredential: M.D.
Location Address4125 BANGS AVEModesto, CA 95356-8713
Mailing Address2801 Braden Ave, Apt 349Modesto, CA 95356-0645 · (513) 295-4670 · Fax (209) 557-1685
Phone(209) 557-1722
Fax(209) 557-1685
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 13, 2021
✔ NPI 1831125624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in OH · 35-08-2875
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
4125 BANGS AVE, Modesto, CA 95356
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indu 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 Reassignment

Medicare enrollment records show Indu Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
25 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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. KURT DAYNE BAKER PH.D.
Psychologist (Clinical)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2300
DR. ANDREW DAVID MAMALIS MD
Student in an Organized Health Care Education/Training Program
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 735-5510
MS. LISA TEIXEIRA
Social Worker (Clinical)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2314
NICOLE RENEE DAVIS-MARENCO FNP
Nurse Practitioner
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 735-5510
DR. MARY JESSIE SUMITHRA M.D
Pediatrics
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-1630
MARIA MARISSA DE LEON LIWAG MD
Pediatrics
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 551-3174
DR. BARBARA MARIE TODD PHD, MSCP
Psychologist (Clinical)
4125 BANGS AVE, DEPARTMENT OF PEDIATRICS, KAISER PERMANENTE
MODESTO, CA 95356
Stanislaus County (209) 557-1643
ANA LUISA CALLENDER LMFT
Counselor (Mental Health)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2309

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 Indu Gupta's NPI number?

The NPI number for Indu Gupta is 1831125624. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Indu Gupta located?

Indu Gupta practices at 4125 Bangs Ave, Modesto, CA 95356. The listed phone number is (209) 557-1722.

What is Indu Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Indu Gupta enrolled in Medicare?

Yes. Indu Gupta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Indu Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indu Gupta reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Indu 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 Indu Gupta was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.