PRIYA GUPTA (DO) – Internal Medicine Physician, NPI 1457873564
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
458 NEPHROLOGY in MA
Provider Addresses for PRIYA GUPTA (DO)
35 LOMASNEY WAY APT 1312
BOSTON, MA 021141550
Phone:
Type: Mailing
31 PINE ST STE 204
NORFOLK, MA 020561680
Phone: (508) 623-3852
Type: Location
East 12 Mile Road, Warren, Macomb County, Michigan, 48088, United States
WARREN, MI 480933570
Phone: (586) 576-4344
Type: Location
Inkster Road, Garden City, Wayne County, Michigan, 48134, United States
GARDEN CITY, MI 481354001
Phone:
Type: Mailing
501 SW 7TH ST STE A
DES MOINES, IA 503094538
Phone: (515) 243-3161
Fax: (515) 410-9890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $341.
Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Horizon Therapeutics plc ($100).
Total Amount
$341
General + Research + Ownership
Payments
13
Total payment records
General Amount
$341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220616000657 | I | Nephrology | IA | TBD |
| I20240910001134 | I | Nephrology | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 433 | 197 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 291 | 136 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 102 | 73 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 99 | 33 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 86 | 84 | $0 |
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nephrology, Internal Medicine | MA | |
| N E P H R O L O G Y | MA | |
| Nephrology, Internal Medicine | MA | |
| N E P H R O L O G Y | MA | |
| Nephrology, Internal Medicine | MA | |
| N E P H R O L O G Y | MA |
Reviews
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