| Krishanu Bappa Gupta, MD, PHD | |
|
525 Broad St, Suite 202, Cumberland, RI 02864-6919 | |
| (401) 727-4600 | |
| (401) 727-4690 |
| Full Name | Krishanu Bappa Gupta |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 525 Broad St, Cumberland, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003807397 | NPI | - | NPPES |
| 7010331 | Medicaid | RI | |
| 21093-9 | Other | RI | BCBS - RI |
| 16-00084 | Other | RI | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD11080 (Rhode Island) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 210605 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Open Mri Of New England, Inc. | 7012928294 | 3 |
| Advanced Radiology, Inc. | 9234140690 | 3 |
| Entity Name | Advanced Radiology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638494 PECOS PAC ID: 9234140690 Enrollment ID: O20060522000184 |
| Entity Name | Open Mri Of New England, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053365734 PECOS PAC ID: 7012928294 Enrollment ID: O20060601000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishanu Bappa Gupta, MD, PHD 525 Broad St, Suite 202, Cumberland, RI 02864-6919 Ph: (401) 727-4600 | Krishanu Bappa Gupta, MD, PHD 525 Broad St, Suite 202, Cumberland, RI 02864-6919 Ph: (401) 727-4600 |
Dr. David Cheng, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 Broad St, Suite 202- Advanced Radiology, Cumberland, RI 02864 Phone: 401-727-4600 Fax: 401-727-4690 | |
Donnella Simone Comeau, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 Broad St, Advanced Radiology, Cumberland, RI 02864 Phone: 401-725-6736 |