Active NPI
Jonathan Gupta, M.D.
- Diagnostic Radiology Physician
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301099446
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341-5023 - Phone
- (248) 858-3000
- NPI assigned
- Jul 19, 2011
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 331821 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 4301099446 | MI | Primary |
| General Practice Physician | 208D00000X | 4301099446 | MI |
Addresses
Primary practice location
44405 Woodward Ave
Pontiac, MI 48341-5023
Mailing address
32640 Whatley Rd
Franklin, MI 48025-1123
Phone (248) 390-0579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Franklin, MI 48025
Phone (231) 722-6005
32 -36 Harrison St
Johnson City, NY 13790-2122
Phone (607) 729-1999
32640 Whatley Rd
Franklin, MI 48025-1123
Phone (607) 729-1999
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331821 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proscan Womens Imaging at Redbank | Diagnostic Radiology | Current | Accepting new patients |
| Dublin Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Beacon Dowagiac Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc | Current | Accepting new patients | |
| Beacon Kalamazoo Inc | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Beacon Dowagiac Inc | Diagnostic Radiology | Current | Accepting new patients |
| CT at Midtown | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Health System | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Kalamazoo Inc | Diagnostic Radiology | Current | Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Kalamazoo Inc | Current | Accepting new patients | |
| Marwan Shuayto MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Imaging of Pickerington, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Proscan Womens Imaging at Redbank LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Muskegon PC | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Past | Accepting new patients | |
| Delaware Valley Hospital, Inc | Past | Accepting new patients | |
| Spartan Radiology, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 34)
3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
11320 S M 43 Hwy
Delton, MI 49046
Phone (269) 623-5521
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
1535 Gull Rd
Ste 200
Kalamazoo, MI 49048
Phone (269) 388-6350
1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290
1700 Gull Rd
Kalamazoo, MI 49048
Phone (269) 342-1099
1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550
200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453
3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
6565 W Main St
Ste 135
Kalamazoo, MI 49009
Phone (269) 372-7459
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
1201 Stone St
Ste 8
Port Huron, MI 48060
Phone (810) 985-4411
615 Pine St
Port Huron, MI 48060
Phone (810) 989-0000
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
8450 N 32nd St
Richland, MI 49083
Phone (269) 226-2500
72 S State St
Shelby, MI 49455
Phone (231) 728-4601
1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
Organizations & group practices 26
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Muskegon, MI
- NPI 1841208071
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
MI
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Blue Water Open MRI
- Neurology Physician
- Port Huron, MI
- NPI 1578819850
Diagnostic Radiology
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1508856667
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1144312646
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1588654610
-
dba Proscan Womens Imaging Center
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1013907120
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1033407499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32640 WHATLEY RD",
"city": "FRANKLIN",
"state": "MI",
"postal_code": "480251123",
"telephone_number": "248-390-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023",
"telephone_number": "248-858-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "331821",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301099446",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301099446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.