ABHINAV GUPTA (MD) – Emergency Medicine Physician, NPI 1407316904

ABHINAV GUPTA (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. D0094634 (MD). The NPI Number for ABHINAV GUPTA (MD) is 1407316904

Main info

Male
Name
ABHINAV GUPTA (MD)
NPI
1407316904
Phone
(508) 334-1000
Address
55 LAKE AVE N
Enumeration Date
21 March 2019
Last Update Date
26 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for ABHINAV GUPTA (MD)

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 334-1000

    Type: Mailing

  • 1800 Orleans St

    Baltimore, MD 212870010

    Phone: (410) 955-8893

    Type: Location

  • 6201 GREENLEIGH AVE FL 2

    MIDDLE RIVER, MD 212202004

    Phone: (410) 933-2704

    Type: Mailing

  • 901 HARRY S TRUMAN DR N

    LARGO, MD 207745477

    Phone: (240) 677-1000

    Type: Location

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: 2024-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230501002508IEmergency MedicineDCTBD
I20240605000224IEmergency MedicineMDTBD

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
99285Emergency department visit with high level of medical decision making104104$0
99284Emergency department visit with moderate level of medical decision making9292$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5655$0
99291Critical care, first 30-74 minutes3232$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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Reviews

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Frequently asked questions

Does ABHINAV GUPTA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ABHINAV GUPTA (MD) uses 1407316904.
Does CMS list ABHINAV GUPTA (MD) as active?
Yes — ABHINAV GUPTA (MD) is active in the NPI listing used on this page.
What is ABHINAV GUPTA (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for ABHINAV GUPTA (MD) here. Clinical services aligned with this taxonomy classification.
Where is ABHINAV GUPTA (MD) based?
ABHINAV GUPTA (MD) is tied to Worcester, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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