2026 NPPES data Medical Oncology Physician NPI 1124402961 M.D.
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MEDHAVI GUPTA, M.D.

Medical Oncology Physician in PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
115
Medicare Part D claims · 43 beneficiaries · Medical Oncology Physician avg: 689

What the federal data shows

MEDHAVI GUPTA, M.D. filed 115 Medicare Part D claims in 2023 as a Medical Oncology Physician in PROVIDENCE, Rhode Island.

115
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MEDHAVI GUPTA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

115 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MEDHAVI GUPTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MEDHAVI GUPTA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/10/2015

NPI 1124402961

Primary specialty

Medical Oncology Physician

Niche

3,792 US NPIs in this specialty

Medicare Part D claims

115 83% vs specialty avg

2023 prescription claims

Specialty avg: 689

Specialty distribution in Rhode Island

How Medical Oncology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Medical Oncology Physician share within Rhode Island

1. Medical Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Oncology Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Medical Oncology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Medical Oncology Physician ABMS/AOA estimate

Est. board-certified rate (Medical Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Medical Oncology Physician) — ABMS / AOA estimate

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).

MEDHAVI GUPTA, M.D. appears in the CMS NPPES registry as a Medical Oncology Physician provider holding M.D. credentials at 1 BLACKSTONE STREET, PROVIDENCE, RI, 02903, with a listed phone of (401) 453-7520. NPI 1124402961 was issued on 07/10/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what 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 records for calendar year 2023 show 115 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $14K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Medical Oncology Physician is a narrow specialty nationwide, with 3,792 enrolled providers across 53 states and an average of 689 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

1 BLACKSTONE STREET
PROVIDENCE, RI 02903

Provider Details

NPI 1124402961
Specialty Medical Oncology Physician
Credentials M.D.
Gender Female
NPI Issued 07/10/2015

Hospital and facility affiliations

Facilities where MEDHAVI GUPTA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

DANA-FARBER CANCER INSTITUTE, INC.
SOUTH WEYMOUTH, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

115
Total Claims
$14K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
245
Total Day Supply
7,286
Brand Drug Cost
$0
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.04
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Anastrozole
85
Exemestane
20

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Medical Oncology Physician Overview

How MEDHAVI GUPTA, M.D. fits within the Medical Oncology Physician landscape nationally.

3,792
Medical Oncology Physician Providers in US
53
States with Medical Oncology Physician
689
Avg Claims per Provider

MEDHAVI GUPTA, M.D.'s 115 claims are below the specialty average of 689.

Nearby Medical Oncology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as GUPTA.

Compare Medical Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MEDHAVI GUPTA, M.D.'s specialty?
MEDHAVI GUPTA, M.D. specializes in Medical Oncology Physician and practices in PROVIDENCE, Rhode Island. Credentials: M.D..
How much does MEDHAVI GUPTA, M.D. prescribe under Medicare Part D?
In 2023, MEDHAVI GUPTA, M.D. wrote 115 Medicare Part D claims totaling $14K in drug costs for 43 beneficiaries.
Where is MEDHAVI GUPTA, M.D. located?
MEDHAVI GUPTA, M.D. is located at 1 BLACKSTONE STREET, PROVIDENCE, RI, 02903. Phone: (401) 453-7520.
What is MEDHAVI GUPTA, M.D.'s NPI number?
MEDHAVI GUPTA, M.D.'s National Provider Identifier (NPI) is 1124402961, issued on 07/10/2015.
How many Medical Oncology Physician providers are there in the US?
There are 3,792 Medical Oncology Physician providers across 53 states in the US. The average Medical Oncology Physician provider writes 689 Medicare Part D claims per year.
What drugs does MEDHAVI GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MEDHAVI GUPTA, M.D.'s most frequently prescribed drugs include Anastrozole, Exemestane. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEDHAVI GUPTA, M.D. accept Medicare?
MEDHAVI GUPTA, M.D. appears in CMS Medicare data with 115 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEDHAVI GUPTA, M.D.'s credentials?
MEDHAVI GUPTA, M.D.'s NPI is 1124402961 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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