Individual provider Active NPI

Priya Gupta, DO

  • Nephrology Physician
  • Norfolk, MA
National Provider Identifier
1457873564
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1018124 Issued in MA
Practice address
31 Pine St Ste 204
Norfolk, MA 02056-1680
Phone
(508) 623-3852
NPI assigned
Jul 10, 2017
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220616000657 IA Practitioner - Nephrology 3072877018 Reassigns benefits to 1 organization
I20240910001134 MA Practitioner - NephrologyPractitioner - Internal Medicine 3072877018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians
NE Nephrology Home Care AssociatesGroup PAC ID 5799864393, 10 clinicians

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

LicenseStateTypeSpecialty
05985IAMDClinical Social Worker
1018124MAMDNephrology Physician
5151012432MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Sep 16, 2023 Accepting new patients
NE Nephrology Home Care Associates Nephrology CurrentSince Aug 26, 2024 Accepting new patients
South Shore Medical Center, Inc. Internal Medicine CurrentSince Mar 10, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.