Active NPI
Preeti Gupta
- Pediatrics Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V7221
- Practice address
- 11930 W US Highway 90 Ste 110
San Antonio, TX 78245-9613 - Phone
- (210) 431-6255
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | V7221 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11930 W US Highway 90 Ste 110
San Antonio, TX 78245-9613
Mailing address
11930 W US Highway 90 Ste 110
San Antonio, TX 78245-9613
Other practice location 1
820 S Wood St Ste 100
Chicago, IL 60612-4325
Phone (312) 996-2933
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251023001409 | TX | Practitioner - Pediatric Medicine | 5698156388 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3066 E Commerce St
San Antonio, TX 78220-1013
3419 Deep Wood Dr
Crystal Lake, IL 60012-1024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V7221 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients |
Locations
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
14625 Huebner Rd
San Antonio, TX 78230
11930 W US Highway 90
Ste 110
San Antonio, TX 78245
Phone (210) 431-6255
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
Interoperability endpoints
- pgupta134799@uihealth.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
TX
-
- Federally Qualified Health Center (FQHC)
- Kyle, TX
- NPI 1003136912
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1417698341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11930 W US HIGHWAY 90 STE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782459613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 W US HIGHWAY 90 STE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782459613",
"telephone_number": "210-431-6255"
}
],
"practiceLocations": [
{
"address_1": "820 S Wood St Ste 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124325",
"country_code": "US",
"telephone_number": "312-996-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "PREETI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V7221",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.