Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Preeti Gupta

Individual provider Pediatrics Physician · NPI 1417698341

Preeti Gupta practises Pediatric Medicine in San Antonio, Texas. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2022, 4 years ago. Licensed in Texas.

Years since qualifying
4
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

11930 W US Highway 90 Ste 110
San Antonio, TX 78245-9613
Phone: (210) 431-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence V7221 (TX)

Record details

NPI number1417698341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESOctober 9, 2026
Certification dateOctober 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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