Individual provider Active NPI

Priyanka Gupta, M.D.

  • Specialist
  • New Braunfels, TX
National Provider Identifier
1346281839
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M2629 Issued in TX
Practice address
212 Hunters Village
Suite 105
New Braunfels, TX 78132-5250
Phone
(830) 625-7612
Fax
(830) 625-9357
NPI assigned
Jun 8, 2006
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M2629 TX Primary

Addresses

Primary practice location

212 Hunters Village
Suite 105
New Braunfels, TX 78132-5250

Mailing address

212 Hunters Village
Suite 105
New Braunfels, TX 78132-5250
Phone (830) 625-7612

Other identifiers 1

IdentifierTypeStateIssuer
178952101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117001026 TX Practitioner - Allergy/Immunology 0143296152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Michigan State University College of Human Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Hunters VLG
Suite 105
New Braunfels, TX 78132-5250
Phone (830) 625-7612

Merit-based Incentive Payment System (MIPS)

Final score
49.85 of 100Reported as individual
Quality
58.29
Improvement activities
0
Cost
88.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2629TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Allergy & Asthma, PA CurrentSince Jan 1, 2008 Accepting new patients
Dilley Allergy & Asthma Specialists LLP PastSince Sep 1, 2024 Accepting new patients

Locations

212 Hunters Vlg
Ste 105
New Braunfels, TX 78132
Phone (830) 609-0998

705 Landa St
Ste F
New Braunfels, TX 78130
Phone (830) 609-0998

7711 Louis Pasteur Dr
#407
San Antonio, TX 78229
Phone (210) 614-4405

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1346281839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HUNTERS VILLAGE",
            "address_2": "SUITE 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325250",
            "telephone_number": "830-625-7612",
            "fax_number": "830-625-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HUNTERS VILLAGE",
            "address_2": "SUITE 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325250",
            "telephone_number": "830-625-7612",
            "fax_number": "830-625-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PRIYANKA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M2629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178952101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.