Nilesh Gupta, MD - Medicare Pathology in Ardmore, OK

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Nilesh Gupta, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Ardmore, Oklahoma. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Henry Ford Health System, Henry Ford Pathology and his current practice location is 1011 14th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 220-6647.

Nilesh Gupta is licensed to practice in Oklahoma (license number 25258) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235153750.

Contact Information

Nilesh Gupta, MD
1011 14th Ave Nw,
Ardmore, OK 73401-1828
(580) 220-6647
Not Available

Map and Direction




Physician's Profile

Full NameNilesh Gupta
GenderMale
SpecialityPathology
Experience28 Years
Location1011 14th Ave Nw, Ardmore, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nilesh Gupta graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1235153750
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9931103223
  • Enrollment ID: I20071029000605

Medical Identifiers

Medical identifiers for Nilesh Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235153750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25258 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital
Henry Ford Macomb HospitalClinton township, MIHospital
Henry Ford Wyandotte HospitalWyandotte, MIHospital
Henry Ford Allegiance HealthJackson, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Health System05471783112304
Henry Ford Pathology640695343930

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. Nilesh Gupta allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437826
PECOS PAC ID: 0244136067
Enrollment ID: O20031212000691
Entity NameHenry Ford Pathology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851410005
PECOS PAC ID: 6406953439
Enrollment ID: O20070525000207

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. Nilesh 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
Nilesh Gupta, MD
Po Box 1867,
Denton, TX 76202-1867

Ph: (940) 384-6238		Nilesh Gupta, MD
1011 14th Ave Nw,
Ardmore, OK 73401-1828

Ph: (580) 220-6647

Reviews and Comments


Pathology Doctors in Ardmore, OK

Dr. Bryce Owen Bliss, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-223-5400    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.