MINI GUPTA (MD) – Nephrology Physician, NPI 1417919796

MINI GUPTA (MD) is a healthcare provider. based in Austell, Georgia. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 055949 (GA). The NPI Number for MINI GUPTA (MD) is 1417919796

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MINI GUPTA (MD)
NPI
1417919796
Phone
Not provided
Address
1810 MULKEY RD
Enumeration Date
4 April 2006
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707328464
Graduation Year
1995 (31 years ago)
PAC ID
0446206304
Group Practice PAC ID
6608889043
Professional Enrollment ID
I20050324000263
Address ID
GA301061132AU1810XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

431 NEPHROLOGY in GA

Provider Addresses for MINI GUPTA (MD)

  • 1810 MULKEY RD

    SUITE103

    AUSTELL, GA 301061151

    Phone:

    Type: Mailing

  • 1700 HOSPITAL SOUTH DR

    SUITE 304

    AUSTELL, GA 301066810

    Phone: (770) 732-8464

    Fax: (770) 732-8462

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Baxter Healthcare ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$31
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050324000263INephrologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes201110$0
99214Established patient office or other outpatient visit, 30-39 minutes18399$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11448$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4630$0
99212Established patient office or other outpatient visit, 10-19 minutes4031$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608889043View full group profile
NameSpecialtyState
Nephrology, Internal MedicineGA
Nephrology, Internal MedicineGA

Reviews

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Frequently asked questions

Is MINI GUPTA (MD) listed with a National Provider Identifier?
Yes — MINI GUPTA (MD) has NPI 1417919796 on file in the registry.
Is MINI GUPTA (MD) still an active registrant?
MINI GUPTA (MD) carries an active NPI according to the public dataset.
What area of care is associated with MINI GUPTA (MD)?
MINI GUPTA (MD)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is MINI GUPTA (MD) registered?
Use Austell, Georgia as the headline location for MINI GUPTA (MD) here.
Can I trust this NPI listing for MINI GUPTA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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