| Manik Kumar Gupta, | |
|
2601 E Roosevelt St, Phoenix, AZ 85008-4973 | |
| (602) 344-5011 | |
| Not Available |
| Full Name | Manik Kumar Gupta |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 2601 E Roosevelt St, Phoenix, Arizona |
| 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 |
|---|---|---|---|
| 1548655681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 63104 (Arizona) | Primary |
| 207L00000X | Anesthesiology | CDR.0006114 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Heart Hospital | Mesa, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Corewell Health United Hospital | Greenville, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Hospital Based Physicians Llc | 1052614294 | 343 |
| Northwest Hbp Medical Services Llc | 8921356536 | 278 |
| District Medical Group Inc | 7315086691 | 454 |
| Poudre Valley Medical Group Llc | 9638208549 | 2425 |
| Spectrum Health Primary Care Partners | 4587568647 | 2283 |
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 636 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Banner Hospital Based Physicians Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Banner - University Hospital Based Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Pca Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164804258 PECOS PAC ID: 1658675558 Enrollment ID: O20160215000555 |
| Entity Name | Northwest Hbp Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Entity Name | Anesthesia Partners of Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Hospitalist Medicine Physicians of Arizona - Nogales |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487251799 PECOS PAC ID: 9335554625 Enrollment ID: O20210218002429 |
| Mailing Address | Practice Location Address |
|---|---|
| Manik Kumar Gupta, 3800 Woodward Ave Apt 704, Detroit, MI 48201-1980 Ph: (404) 805-3042 | Manik Kumar Gupta, 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (602) 344-5011 |
Dr. Ahmar Husain, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 |
Mr. Sean Patrick Brady, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945 |
Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 |
Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146 |
Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 |
Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919 |
Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890 |