Active NPI
Chirag Gupta, M.D.
- Ophthalmology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301094442
- Practice address
- 3535 W 13 Mile Rd Ste 555
Royal Oak, MI 48073-6770 - Phone
- (248) 551-2020
- Fax
- (248) 551-2267
- NPI assigned
- Jul 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 4301094442 | MI | |
| Ophthalmology Physician | 207W00000X | 4301094442 | MI | Primary |
Addresses
Primary practice location
3535 W 13 Mile Rd Ste 555
Royal Oak, MI 48073-6770
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
29201 Telegraph Rd
Suite # 101
Southfield, MI 48034-1331
Phone (248) 350-1130
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgupta25873@direct.beaumont.edu | ||
| Direct Messaging Address | cgupta25873@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Henry Ford Health Hospital
- Beaumont Hospital, Troy
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301094442 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients |
Locations
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
3601 W 13 Mile Rd
Royal Oak, MI 48073
3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020
3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
Interoperability endpoints
- cgupta25873@direct.beaumont.edu
- cgupta1236352@epic00.shdirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1013147586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 W 13 MILE RD STE 555",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736770",
"telephone_number": "248-551-2020",
"fax_number": "248-551-2267"
}
],
"practiceLocations": [
{
"address_1": "29201 Telegraph Rd",
"address_2": "Suite # 101",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341331",
"country_code": "US",
"telephone_number": "248-350-1130",
"fax_number": "248-350-2709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "CHIRAG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-20",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4301094442",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301094442",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgupta25873@direct.beaumont.edu",
"affiliation": "N",
"address_1": "29201 Telegraph Rd",
"address_2": "Suite # 101",
"city": "Southfield",
"state": "MI",
"country_code": "US",
"postal_code": "480341331",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgupta25873@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3535 W 13 Mile Rd Ste 555",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.