DR. RUCHI GUPTA (M.D.) – Pediatric Cardiology Physician, NPI 1013165935

DR. RUCHI GUPTA (M.D.) is a healthcare provider. based in Allentown, Pennsylvania. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD429272 (PA). The NPI Number for DR. RUCHI GUPTA (M.D.) is 1013165935

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUCHI GUPTA (M.D.)
NPI
1013165935
Phone
(610) 437-6687
Address
401 N 17TH ST
Enumeration Date
4 September 2008
Last Update Date
2 July 2010

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
2155901000
Graduation Year
2003 (23 years ago)
PAC ID
3779762695
Group Practice PAC ID
1355253527
Professional Enrollment ID
I20110125000478
Address ID
PA191044319PH3401XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,236 PEDIATRIC MEDICINE in PA

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Provider Addresses for DR. RUCHI GUPTA (M.D.)

  • 401, North 17th Street, West Park, Allentown, Lehigh County, Pennsylvania, 18104, United States

    SUITE 309

    ALLENTOWN, PA 181045034

    Phone: (610) 437-6687

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-25

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
I20110125000478IPediatric MedicinePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18104)

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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: 1355253527View full group profile

Reviews

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Frequently asked questions

Does DR. RUCHI GUPTA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RUCHI GUPTA (M.D.) uses 1013165935.
Is DR. RUCHI GUPTA (M.D.) listed as active for patients and plans?
The listing shows DR. RUCHI GUPTA (M.D.) as active in the NPI system.
What is DR. RUCHI GUPTA (M.D.) best known for clinically?
Directory data describes DR. RUCHI GUPTA (M.D.) with Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RUCHI GUPTA (M.D.) serve?
DR. RUCHI GUPTA (M.D.)'s listing highlights Allentown, Pennsylvania; more addresses can appear in NPPES.
Is the information about DR. RUCHI GUPTA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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