Nilesh Gupta, M.D.
NPI 1255363636 · Pulmonary Disease Physician · Menomonee Falls, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilesh Gupta, M.D. is a Pulmonary Disease Physician provider in Menomonee Falls, WI (NPI 1255363636).
Provider details
- NPI number
- 1255363636
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 43436 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
614 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 254 | $117 |
| Test to Determine Lung Volumes Using Sensors94726 | 94 | $50 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 86 | $35 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 82 | $51 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $154 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 251 | 47 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 151 | 72 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 113 | 26 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 78 | 14 |
| Zolpidem Tartrate | 78 | 18 |
| Prednisone | 69 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$95 across 1 record (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
- 2006-07-07
- Last updated
- 2024-04-01
- Certified
- 2024-04-01
Frequently asked questions
- What is Nilesh Gupta's NPI number?
- Nilesh Gupta's National Provider Identifier (NPI) is 1255363636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilesh Gupta's specialty?
- Nilesh Gupta is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Nilesh Gupta located?
- Nilesh Gupta's practice location on file with NPPES is N84w16889 Menomonee Ave, Menomonee Falls, WI 53051.
- What is Nilesh Gupta's phone number?
- The practice phone number listed in the NPPES registry for Nilesh Gupta is (262) 251-7500.
- Does Nilesh Gupta accept Medicare?
- Nilesh Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilesh Gupta's NPI active?
- Yes — Nilesh Gupta's NPI (1255363636) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.