MICHELLE A GUPTA (MD) – Pediatric Urology Physician, NPI 1033343298

MICHELLE A GUPTA (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in Pediatric Urology Physician. They hold the professional credentials MD. They hold a License No. N/A (CA). The NPI Number for MICHELLE A GUPTA (MD) is 1033343298

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE A GUPTA (MD)
NPI
1033343298
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
3 May 2009
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5094742880
Graduation Year
2010 (16 years ago)
PAC ID
4284980392
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20180703001381

Contacts

Secure Messaging
mlightfoot954956@wm.providencedirect.org
SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

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Provider Addresses for MICHELLE A GUPTA (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Fax: (509) 227-7070

    Type: Mailing

  • 100, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SPOKANE, WA 992042307

    Phone: (509) 474-5489

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Becton, Dickinson and Company ($40).

Total Amount

$157

General + Research + Ownership

Payments

6

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-15

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: 2025-01-20

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
I20250120000341IUrologyCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

Can I cross-check MICHELLE A GUPTA (MD) using NPI 1033343298?
NPI 1033343298 belongs to MICHELLE A GUPTA (MD); compare other details if you need extra assurance.
Is MICHELLE A GUPTA (MD) shown as active in public data?
Registry records indicate MICHELLE A GUPTA (MD) maintains an active NPI.
What expertise is attributed to MICHELLE A GUPTA (MD)?
MICHELLE A GUPTA (MD)'s specialty line reads Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
Is MICHELLE A GUPTA (MD) located near Liberty Lake?
MICHELLE A GUPTA (MD) currently maps to Liberty Lake, Washington in this extract.
Does MICHELLE A GUPTA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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