Manish R Gupta, DO

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

35-07-6763-G Issued in OH

Practice address

1050 Isaac Streets Dr
Suite 136
Oregon, OH 43616-3291

Phone

(419) 696-5656

Fax

(419) 844-8784

NPI assigned

Dec 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Podiatry Institute of Michigan

  • Foot & Ankle Surgery Podiatrist
  • Taylor, MI
  • NPI 1679197438
  NPD (past)
• Raj K Gupta MD PC

  • Plastic Surgery Physician
  • Taylor, MI
  • NPI 1013945971
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1124005863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "SUITE 136",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-696-5656",
            "fax_number": "419-844-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR",
            "address_2": "SUITE 136",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-696-5656",
            "fax_number": "419-844-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MANISH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35-07-6763-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Morelli Greenbaum, D.O.
• Mitchell Gordon Greenbaum, D.O.
• Prabhsharn Singh Grewal, MD
• Linda M Grover, CRNA
• Joyce Marie Guinness, NP
• H&M Open Arms Massage Studio LLC
• Hossein Haghbin, MD, MPH
• Taylor Kae Hahn, M.A., CCC-SLP
• Naomi Jean Hale
• Donna Hall

• Plastic and Reconstructive Surgery Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.