AMITABH GUPTA (M.D. PH.D.) – Neurology Physician, NPI 1174660278

AMITABH GUPTA (M.D. PH.D.) is a healthcare provider. based in Dallas, Texas. specializing in PSYCHIATRY, NEUROLOGY. They hold the professional credentials M.D. PH.D.. They hold a License No. 04-41502 (KS). The NPI Number for AMITABH GUPTA (M.D. PH.D.) is 1174660278

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
AMITABH GUPTA (M.D. PH.D.)
NPI
1174660278
Phone
(214) 345-4440
Address
8198 WALNUT HILL LN STE 100
Enumeration Date
30 January 2007
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327764755
Graduation Year
1995 (31 years ago)
PAC ID
8224203575
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20241231002097
Address ID
NJ087247732BR425XXBLVD434
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness75
Years active:19State licenses:8Digital endpointsOther names

2,132 PSYCHIATRY in TX

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Provider Addresses for AMITABH GUPTA (M.D. PH.D.)

  • Walnut Hill Lane, Lake Highlands, Dallas, Dallas County, Texas, 75231, United States

    DALLAS, TX 752314316

    Phone: (214) 345-4440

    Fax: (214) 345-4286

    Type: Mailing

  • 1700 Medical Center Pkwy

    Murfreesboro, TN 371292245

    Phone: (615) 396-5822

    Fax: (615) 396-6751

    Type: Location

  • 3311 Riverbend Dr

    Springfield, OR 974778800

    Phone: (541) 222-3298

    Fax: (541) 338-1070

    Type: Location

  • 1500 SW 10th Ave

    Topeka, KS 666041301

    Phone: (785) 354-6000

    Type: Location

  • 53 Nautilus Dr

    Manahawkin, NJ 080502465

    Phone: (609) 987-8870

    Type: Location

  • 11518 N Frontage Rd

    Yuma, AZ 853678994

    Phone: (928) 342-6500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: ABBVIE INC. ($49).

Total Amount

$86

General + Research + Ownership

Payments

4

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20171101002103INeurologyTNTBD
I20180906001297INeurologyWITBD
I20240612003105INeurologyMTTBD
I20241118004157INeurologyAZTBD
I20241231002097INeurologyNJTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes2416$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75231)

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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: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for AMITABH GUPTA (M.D. PH.D.)?
The registry entry for AMITABH GUPTA (M.D. PH.D.) shows NPI 1174660278.
Quick check: is AMITABH GUPTA (M.D. PH.D.) active?
Public NPPES data shows AMITABH GUPTA (M.D. PH.D.) with an active NPI status right now.
What type of care does AMITABH GUPTA (M.D. PH.D.) provide?
AMITABH GUPTA (M.D. PH.D.)'s profile centers on Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to AMITABH GUPTA (M.D. PH.D.)?
AMITABH GUPTA (M.D. PH.D.) shows a connection to Dallas, Texas in registry-derived data.
Can I export AMITABH GUPTA (M.D. PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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