NEIL GUPTA (MD) – Internal Medicine Physician, NPI 1558561282
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
649 PEDIATRIC MEDICINE in WA
Provider Addresses for NEIL GUPTA (MD)
219 STATE AVE N STE 100
KENT, WA 980304543
Phone: (425) 277-1311
Type: Location
55 FRUIT ST
BOSTON, MA 021142621
Phone: (617) 724-3874
Type: Location
8615, Ma and Pa Lane Northeast, Fletcher Bay, Bainbridge Island, Kitsap County, Washington, 98110, United States
BAINBRIDGE ISLAND, WA 981101657
Phone:
Type: Mailing
75 Francis St
Boston, MA 021156110
Phone: (617) 525-6841
Type: Location
219 State Ave N Ste 100
Kent, WA 980304543
Phone: (425) 277-1311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $5,930.
Total Amount is formed as General ($5,930) + Research ($0) + Ownership ($0) = $5,930.
Last reported payment date: 2023-07-07 • Largest payer in this snapshot: Gilead Sciences, Inc. ($5,930).
Total Amount
$5,930
General + Research + Ownership
Payments
9
Total payment records
General Amount
$5,930
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $5,930 |
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: 2012-09-24
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 |
|---|---|---|---|---|
| I20120924000376 | I | Internal Medicine | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MA | |
| Clinical Psychologist | MA | |
| P S Y C H I A T R Y | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Anesthesiology, Pain Management | MA | |
| - | MA | |
| P S Y C H I A T R Y | MA |
Reviews
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