MONIKA GUGNEJA MD
NPI 1891886271
Emergency Medicine in Troy, MI
About Monika Gugneja Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONIKA GUGNEJA MD (NPI 1891886271) is an individual emergency medicine provider in Troy, Michigan, licensed in Michigan (4301081246) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Monika Gugneja Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Monika Gugneja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TROY, MI 48085
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 Monika Gugneja's NPI number?
The NPI number for Monika Gugneja is 1891886271. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Monika Gugneja located?
Monika Gugneja practices at 44201 Dequindre Rd Ste Ec, Troy, MI 48085. The listed phone number is (248) 964-5000.
What is Monika Gugneja's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Monika Gugneja enrolled in Medicare?
Yes. Monika Gugneja 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.
Which organization bills Medicare for Monika Gugneja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monika Gugneja reassigns Medicare benefits to Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). 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 Monika Gugneja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monika Gugneja accept?
Health plans from Priority Health list Monika Gugneja 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 Monika Gugneja affiliated with any hospitals?
According to CMS data, Monika Gugneja is affiliated with Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Monika Gugneja was last updated on July 29, 2022. 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.