Bal Gupta, MD
NPI 1225041353 · Psychiatry Physician · Warren, MI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bal Gupta, MD is a Psychiatry Physician provider in Warren, MI (NPI 1225041353).
Provider details
- NPI number
- 1225041353
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301037633 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,553 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,017 | $86 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 371 | $14 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 74 | $72 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 67 | $80 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 24 | $175 |
Typical Medicare-allowed amounts for these services range $14–$175 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Benztropine Mesylate | 172 | 30 |
| Alprazolam | 151 | 23 |
| Quetiapine Fumarate | 113 | 15 |
| Clonazepam | 111 | 16 |
| Trazodone Hcl | 92 | 18 |
| Divalproex Sodium | 92 | 16 |
| Fluoxetine Hcl | 89 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$223 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2014-04-22
Frequently asked questions
- What is Bal Gupta's NPI number?
- Bal Gupta's National Provider Identifier (NPI) is 1225041353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bal Gupta's specialty?
- Bal Gupta is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Bal Gupta located?
- Bal Gupta's practice location on file with NPPES is 11900 E Twelve Mile Rd, Warren, MI 48093-3472.
- What is Bal Gupta's phone number?
- The practice phone number listed in the NPPES registry for Bal Gupta is (586) 573-5300.
- Does Bal Gupta accept Medicare?
- Bal Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bal Gupta's NPI active?
- Yes — Bal Gupta's NPI (1225041353) is active in the NPPES registry as of the last update on 2014-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.