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

Q: 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.

Q: What is Indu Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Indu Gupta was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.