POOJA GUPTA M.D.
NPI 1861615007
Pediatrics - Pediatric Cardiology in Detroit, MI
NPI Status: Active since April 10, 2007
Contact Information
3901 BEAUBIEN - 4TH FL
CHILDRENS HOSPITAL OF MI
DETROIT, MI
ZIP 48201
Phone: (313) 745-5484
Fax: (313) 966-2423
- Individual
- Female
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- PECOS Enrolled
About POOJA GUPTA
This page provides the complete NPI Profile along with additional information for Pooja Gupta, a pediatrician established in Detroit, Michigan with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1861615007 assigned on April 2007. The practitioner's primary taxonomy code is 2080P0202X with license number 4301076510 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1861615007
- Provider Name
- POOJA GUPTA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3901 BEAUBIEN - 4TH FL CHILDRENS HOSPITAL OF MI DETROIT, MI 48201
- Location Phone
- (313) 745-5484
- Location Fax
- (313) 966-2423
- Mailing Address
- 4201 ST. ANTOINE - UHC 5D MAILBOX 226 UNIVERSITY PEDIATRICIANS DETROIT, MI 48201
- Mailing Phone
- (313) 745-4405
- Mailing Fax
- (313) 966-2423
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-10-2007
- Last Update Date
- 01-19-2017
- Code Navigator
A pediatrician like Pooja Gupta is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301076510
- License State
- MI
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Pooja Gupta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 40-54 minutes
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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.
This service was performed 29 times for 22 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 24 times for 19 patientsReviews for POOJA GUPTA M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861615007, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861615007, enumerated as an "individual" on April 10, 2007.
The provider is located at 3901 BEAUBIEN - 4TH FL CHILDRENS HOSPITAL OF MI DETROIT, MI 48201 and the phone number is (313) 745-5484.
Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.
The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to verify.
