PRIYANKA GUPTA (MD) – Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician, NPI 1174758262

PRIYANKA GUPTA (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 4301105050 (MI). The NPI Number for PRIYANKA GUPTA (MD) is 1174758262

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
PRIYANKA GUPTA (MD)
NPI
1174758262
Phone
(734) 936-7030
Address
1500 East Medical Center Drive
Enumeration Date
19 May 2009
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
9898391386
Graduation Year
2009 (17 years ago)
PAC ID
7517182405
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20160803000894
Address ID
MI486406139MI4100XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

469 UROLOGY in MI

Provider Addresses for PRIYANKA GUPTA (MD)

  • 1500 East Medical Center Drive

    2nd floor Taubman Center Recp C

    Ann Arbor, MI 481095330

    Phone: (734) 936-7030

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    2ND FLOOR TAUBMAN CENTER RECP C

    ANN ARBOR, MI 481095330

    Phone: (734) 936-7030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $15,637.

Total Amount is formed as General ($15,637) + Research ($0) + Ownership ($0) = $15,637.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($15,172).

Total Amount

$15,637

General + Research + Ownership

Payments

17

Total payment records

General Amount

$15,637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2016-08-03

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
I20160803000894IUrologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes208176$0
52287Exam with injections of chemical for destruction of bladder using an endoscope8749$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
51797Insertion of device into abdomen with pressure and urine flow rate study2424$0
52000Diagnostic exam of bladder and urethra using an endoscope2221$0
View full utilization report →

Insurance plans in this area (ZIP 48109)

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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: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

Can I verify PRIYANKA GUPTA (MD) with an NPI only?
You can start verification with NPI 1174758262 for PRIYANKA GUPTA (MD), then check state licensing separately.
Is PRIYANKA GUPTA (MD) still practicing?
PRIYANKA GUPTA (MD) is currently listed as active in the public NPI registry.
What is PRIYANKA GUPTA (MD)'s specialty?
The listing groups PRIYANKA GUPTA (MD) with Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician. Clinical services aligned with this taxonomy classification.
Where is PRIYANKA GUPTA (MD) based?
PRIYANKA GUPTA (MD) is tied to Ann Arbor, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about PRIYANKA GUPTA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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