CAROL BAUM-GUPTA
Developmental - Behavioral Pediatrics Physician in PAWTUCKET, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: CAROL BAUM-GUPTA specializes in Developmental - Behavioral Pediatrics Physician and practices in PAWTUCKET, Rhode Island, listed in the federal CMS National Provider Identifier registry. Every detail on this page comes straight from federal CMS records, with no proprietary rating applied.
CAROL BAUM-GUPTA practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
CAROL BAUM-GUPTA at a glance
Quality data not reportedPrimary specialty
Specialty distribution in Rhode Island
How Developmental - Behavioral Pediatrics Physician compares to other specialties among Rhode Island providers
Developmental - Behavioral Pediatrics Physician share within Rhode Island
Developmental - Behavioral Pediatrics Physician is one of the more visible NUCC categories in Rhode Island
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Developmental - Behavioral Pediatrics Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Developmental - Behavioral Pediatrics Physician ABMS/AOA estimate
Est. board-certified rate (Developmental - Behavioral Pediatrics Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Developmental - Behavioral Pediatrics Physician US NPIs
Specialty board-certified rate — Developmental - Behavioral Pediatrics Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
CAROL BAUM-GUPTA is a Developmental - Behavioral Pediatrics Physician provider practicing in PAWTUCKET, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1598922809. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
CAROL BAUM-GUPTA appears in the CMS NPPES registry as a Developmental - Behavioral Pediatrics Physician provider at 555 PROSPECT STREET, PAWTUCKET, RI, 02860, with a listed phone of (401) 729-6200. NPI 1598922809 was issued on 05/22/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUM-GUPTA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Developmental - Behavioral Pediatrics Physician providers operate outside Part D entirely.
Developmental - Behavioral Pediatrics Physician is a narrow specialty nationwide, with 946 enrolled providers across 52 states and an average of 175 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1598922809 |
|---|---|
| Specialty | Developmental - Behavioral Pediatrics Physician |
| Gender | Female |
| NPI Issued | 05/22/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm CAROL BAUM-GUPTA's current license status, disciplinary history, and board certifications with the Rhode Island Board of Medical Licensure and Discipline in Rhode Island before relying on this page for a clinical or care decision.
How we sourced this profile
Developmental - Behavioral Pediatrics Physician Overview
How CAROL BAUM-GUPTA fits within the Developmental - Behavioral Pediatrics Physician landscape nationally.
Nearby Developmental - Behavioral Pediatrics Physician Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as BAUM-GUPTA.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology