Priya Gupta, M.D.
NPI 1972824209 · Family Medicine Physician · Pawtucket, RI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Gupta, M.D. is a Family Medicine Physician provider in Pawtucket, RI (NPI 1972824209).
Provider details
- NPI number
- 1972824209
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP01951 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
23 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 23 | $46 |
Typical Medicare-allowed amounts for these services range $46–$46 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 67 | 22 |
| Lisinopril | 44 | 16 |
| Metoprolol Succinate | 37 | 12 |
| Clonazepam | 36 | — |
| Omeprazole | 34 | — |
| Amlodipine Besylate | 31 | — |
| Levothyroxine Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2010-06-22
Frequently asked questions
- What is Priya Gupta's NPI number?
- Priya Gupta's National Provider Identifier (NPI) is 1972824209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Gupta's specialty?
- Priya Gupta is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Gupta located?
- Priya Gupta's practice location on file with NPPES is 111 Brewster St, Pawtucket, RI 02860-4474.
- What is Priya Gupta's phone number?
- The practice phone number listed in the NPPES registry for Priya Gupta is (401) 729-2769.
- Does Priya Gupta accept Medicare?
- Priya Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Gupta's NPI active?
- Yes — Priya Gupta's NPI (1972824209) is active in the NPPES registry as of the last update on 2010-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.