Mrs Neena R Gupta, MD - Medicare Pediatrics in Worcester, MA

Mrs Neena R Gupta, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Department Of Pediatrics, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 442-5695.

Mrs Neena R Gupta is licensed to practice in Massachusetts (license number 242003) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972615052.

Contact Information

Mrs Neena R Gupta, MD
55 Lake Ave N, Department Of Pediatrics,
Worcester, MA 01655-0002
(774) 442-5695
(774) 443-7399

Map and Direction




Physician's Profile

Full NameMrs Neena R Gupta
GenderFemale
SpecialityPediatrics - Pediatric Nephrology
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972615052
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 10/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638135429
  • Enrollment ID: I20091208000309

Medical Identifiers

Medical identifiers for Mrs Neena R Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972615052NPI-NPPES
N655193MedicaidRI
00137071OtherMAMEDICARE
110083785AMedicaidMA
241728OtherRIBLUE CROSS
28463OtherRINEIGHBORHOOD HEALTH PLAN
001370701OtherMAMEDICARE
1203613OtherRIUNITED HEALTH
410398OtherRIBLUE CHIP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD11111 (Rhode Island)Secondary
2080P0210XPediatrics - Pediatric Nephrology MD11111 (Rhode Island)Secondary
2080P0210XPediatrics - Pediatric Nephrology 242003 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Neena R Gupta allows following entities to bill medicare on her behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Neena R Gupta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Neena R Gupta, MD
Po Box 415348,
Boston, MA 02241-0001

Ph: (800) 225-8885
Mrs Neena R Gupta, MD
55 Lake Ave N, Department Of Pediatrics,
Worcester, MA 01655-0002

Ph: (774) 442-5695

Reviews and Comments


Pediatrics Doctors in Worcester, MA

Marissa E Parrillo, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 774-442-5545    Fax: 774-443-7042
Dr. Penny M. Feldman, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 774-441-8081    Fax: 774-441-8055
Dr. Linda D Sagor, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655
Phone: 508-856-4198    Fax: 508-856-1042
Dr. Robert W Zavoski, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 26 Queen Street, Worcester, MA 01610
Phone: 508-860-7800    Fax: 508-860-7925
Cornelius T Tyrrell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655
Phone: 508-334-7986    Fax: 508-334-7989
Callie M Stone, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Nura El-haj, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 774-441-8083    Fax: 774-441-8057

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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