Active NPI
Priya Gupta, DO
- Nephrology Physician
- Norfolk, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 1018124
- Practice address
- 31 Pine St Ste 204
Norfolk, MA 02056-1680 - Phone
- (508) 623-3852
- NPI assigned
- Jul 10, 2017
- Last updated
- Aug 27, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101023607 | MI | |
| Nephrology Physician | 207RN0300X | 1018124 | MA | Primary |
| Nephrology Physician | 207RN0300X | 5151012432 | MI | |
| Nephrology Physician | 207RN0300X | 05985 | IA |
Addresses
Primary practice location
31 Pine St Ste 204
Norfolk, MA 02056-1680
Mailing address
35 Lomasney Way Apt 1312
Boston, MA 02114-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200
2 W St
Suite 1
South Weymouth, MA 02190-1861
Phone (617) 739-2100
2110 Dorchester Ave
Suite 2204
Dorchester, MA 02124-5628
Phone (617) 739-2100
241 Willow St
Yarmouth Port, MA 02675-1744
Phone (508) 362-4534
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05985 | IA | MD | Clinical Social Worker |
| 1018124 | MA | MD | Nephrology Physician |
| 5151012432 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| NE Nephrology Home Care Associates | Nephrology | Current | Accepting new patients |
| South Shore Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| New England Nephrology Associates | Nephrology | Past | Accepting new patients |
| CNV Bidco LLC | Nephrology | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1215 Pleasant St
Ste 400
Des Moines, IA 50309
Phone (515) 241-5722
2110 Dorchester Ave
Ste 2204
Dorchester, MA 02124
Phone (508) 650-7890
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
31 Pine St
Ste 204
Norfolk, MA 02056
Phone (617) 739-7100
143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- pgupta67181@direct.acumenmd.com
Organizations & group practices 5
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.
-
dba Commonwealth Nephrology Associates
- Nephrology Physician
- Norfolk, MA
- NPI 1447302682
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
-
- Nephrology Physician
- Norfolk, MA
- NPI 1093119240
-
- Nephrology Physician
- Norfolk, MA
- NPI 1033261276
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mary Eliza Mahoney Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Roxbury, MA
- NPI 1255340964
Dialysis facility
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1457873564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LOMASNEY WAY APT 1312",
"city": "BOSTON",
"state": "MA",
"postal_code": "021141550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 PINE ST STE 204",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561680",
"telephone_number": "508-623-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "PRIYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101023607",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "1018124",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "5151012432",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IA",
"license": "05985",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.