Pooja Gupta, M.D.
NPI 1861615007ActiveIndividual· Pediatrics, Pediatric Cardiology· Detroit, MI
Opted out of Medicare from July 2026 to July 2028. Pediatrics, Pediatric Cardiology (M.D.) in Detroit, Michigan, licensed in MI, with an NPI issued in April 2007. Their prescriptions cost Medicare Part D more than their services did: $43,508 for 229 claims, against $2,190 paid for services in 2024.
Overview
| NPI | 1861615007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 10, 2007 |
| Last updated in NPPES | Jan 19, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Cardiology Primary | 2080P0202X | 4301076510 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2026 – Jul 1, 2028 |
| Can order and refer | No |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 52 across 8 procedure codes |
| Paid by Medicare | $2,190 |
Part D prescriptions in 2024
| Prescriptions (claims) | 229 · 535 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $43,508 |
| Generic share | 83% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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