Nidhi Gupta, MD is a medicare enrolled "Internal Medicine" physician in Pine City, Minnesota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
510 2nd St Se, Pine City, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 629-6721.
Nidhi Gupta is licensed to practice in Minnesota (license number 52785) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336338433.
Physician's Profile
Full Name | Nidhi Gupta |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 14 Years |
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Location | 510 2nd St Se, Pine City, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nidhi Gupta graduated from medical school in 2010
NPI Data:
- NPI Number: 1336338433
- Provider Enumeration Date: 10/15/2007
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133245194
- Enrollment ID: I20150820012357
Medical Identifiers
Medical identifiers for Nidhi Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336338433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301089993 (Michigan) | Secondary |
207R00000X | Internal Medicine | 52785 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Permanente Medical Group Inc | 8921910225 | 8376 |
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. Nidhi Gupta allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Nidhi 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 Address | Practice Location Address |
Nidhi Gupta, MD 510 2nd St Se, Pine City, MN 55063-1704 Ph: (320) 629-6721 | Nidhi Gupta, MD 510 2nd St Se, Pine City, MN 55063-1704 Ph: (320) 629-6721 |
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