NUPUR GUPTA M.D. M.P.H. NPI 1710099064

NPI Information

NPI: 1710099064
Provider Name: NUPUR GUPTA, M.D., M.P.H.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
55 FRUIT ST
YAWKEY 6 D
BOSTON, MA
ZIP 02114
Phone: (617) 643-1201
Get Directions

Nupur Gupta, M.D., M.P.H. is an adolescent medicine pediatrics in Boston, MA with 35 years of experience. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Nupur Gupta, M.D., M.P.H. NPI is 1710099064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
YAWKEY 6 D
BOSTON, MA
ZIP 02114-621
Phone: (617) 643-1201
Fax: (617) 726-0581

The NPI 1710099064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	152951	MASSACHUSETTS	No
2	208000000X	Pediatrics		152951	MASSACHUSETTS	No
3	2080A0000X	Pediatrics	Adolescent Medicine	152951	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G90872	MEDICARE UPIN
2	A29450	MEDICARE ID-TYPE UNSPECIFIED
3	3192555	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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