NILESH GUPTA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1235153750
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 PATHOLOGY in OK
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Provider Addresses for NILESH GUPTA (M.D.)
Denton Post Office, 503, Market Street, Riverview Gardens, Denton, Caroline County, Maryland, 21629, United States
DENTON, TX 762021867
Phone: (940) 384-6238
Fax: (940) 382-7680
Type: Mailing
Mercy Hospital Ardmore, 1011, 14th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States
ARDMORE, OK 734011828
Phone: (580) 220-6647
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 $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-10-08 • Largest payer in this snapshot: Astellas Pharma US Inc ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $30 |
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: 2007-10-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071029000605 | I | Pathology | MI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 148 | 88 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 122 | 89 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 110 | 80 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 80 | 25 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 40 | 32 | $0 |
Insurance plans in this area (ZIP 76202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OK | 88342 | Tissue or cell analysis by immunologic technique | 63 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MI | |
| - | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| P A T H O L O G Y | OK | |
| P A T H O L O G Y | GA |
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