POONAM RAI GUPTA NP
NPI 1922464601
Nurse Practitioner in Mooresville, NC

Active since January 11, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY, MOORESVILLE, NC 28117(704) 801-9100 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2024, May 8, 2023, Mar 10, 2023 and 62 more (65 updates tracked since 2016).

About Poonam Rai Gupta Np NPPES

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

POONAM RAI GUPTA NP (NPI 1922464601) is an individual nurse practitioner in Mooresville, North Carolina, licensed in North Carolina (5008287) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1922464601
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePOONAM RAI GUPTACredential: NP
Location Address134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGYMooresville, NC 28117-8526
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 11, 2016
Last NPPES UpdateJuly 16, 202465 updates tracked since enumeration
NPI 1922464601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5008287
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5008287 (NC)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5008287 (NC)
134 MEDICAL PARK RD, Mooresville, NC 28117

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 2101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950
Location 310650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840
Location 41237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212

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

Poonam Rai Gupta Np 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 ID3870891179
PECOS Enrollment IDI20160420001297
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

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.
624 services450 patients

Hospital Affiliations CMS Care Compare 4

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340129
Location171 Fairview RoadMooresville, NC 28117 · Iredell County
Emergency services

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physical Therapist
134 MEDICAL PARK RD
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Neurological Surgery
134 MEDICAL PARK RD, SUITE 108
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine
134 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Physical Therapist
134 MEDICAL PARK RD
MOORESVILLE, NC 28117

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 Poonam Gupta's NPI number?

The NPI number for Poonam Gupta is 1922464601. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Poonam Gupta located?

Poonam Gupta practices at 134 Medical Park Rd Ste 111 - Adult Cardiology, Mooresville, NC 28117. The listed phone number is (704) 801-9100.

What is Poonam Gupta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Poonam Gupta enrolled in Medicare?

Yes. Poonam 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 Poonam Gupta accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Poonam 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 Poonam Gupta affiliated with any hospitals?

According to CMS data, Poonam Gupta is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health, Lake Norman Regional Medical Center and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Poonam Gupta was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.