Active NPI
Raavi Gupta, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 228092
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (413) 739-9970
- NPI assigned
- Oct 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 228092 | NY | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
12 Pheasant Run
Scarsdale, NY 10583-3141
Phone (413) 739-9970
Other practice location 1
75 Francis St
Boston, MA 02115-6106
Phone (413) 739-9970
Other practice location 2
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, 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
- Pathology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-2310
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228092 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
| 003190 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Family Care Center, Inc. | Current | Accepting new patients | |
| Urban Strategies Brookdale Family Care Center Inc | Current | Accepting new patients | |
| Brookdale Family Care Center, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients |
Locations
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133
465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
450 Clarkson Ave
Fl 4
Brooklyn, NY 11203
Phone (718) 270-1291
2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1962459644
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1215984422
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Clinic/Center
- Brooklyn, NY
- NPI 1285758771
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1730136284
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1760471627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PHEASANT RUN",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833141",
"telephone_number": "413-739-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "413-739-9970"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156106",
"country_code": "US",
"telephone_number": "413-739-9970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "RAAVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "228092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.