Active NPI
Manish Gupta, M.D.
- Medical Oncology Physician
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- L4411
- Practice address
- 777 Walter Reed Blvd
Suite 201
Garland, TX 75042-5727 - Phone
- (972) 272-3417
- Fax
- (972) 487-1749
- NPI assigned
- Jun 12, 2006
- Last updated
- May 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | L4411 | TX | Primary |
Addresses
Primary practice location
777 Walter Reed Blvd
Suite 201
Garland, TX 75042-5727
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R1452 | Other | TX | BLUE CROSS OF TEXAS |
| 154481901 | Medicaid | TX | |
| 154481903 | Medicaid | TX | |
| 154481904 | Medicaid | TX | |
| 154481902 | Medicaid | TX | |
| 100845220A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Medical Oncology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10425 N Central Expy
Dallas, TX 75231-2208
Phone (214) 361-2025
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456
3410 Worth St
Dallas, TX 75246-2092
3705 W 15TH St
Plano, TX 75075-7753
Phone (972) 867-3577
4708 Alliance Blvd
Suite 150
Plano, TX 75093-5339
Phone (972) 596-7801
4708 Alliance Blvd
Suite 475
Plano, TX 75093-5351
Phone (972) 596-7801
5236 W University Dr
Suite 1000
McKinney, TX 75071-8106
Phone (972) 923-2600
7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000
8196 Walnut Hill LN
Suite 100
Dallas, TX 75231-7001
Phone (214) 739-4175
PO Box
Suite 911242
Dallas, TX 75391-1242
Hospital & facility affiliations
- Baylor Scott & White Medical Center Plano
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott & White Institute for Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
Locations
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
3705 W 15th St
Plano, TX 75075
Phone (972) 867-3577
Interoperability endpoints
- manish.gupta@txo.ikm.direct-ci.com
Organizations & group practices 2
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Dallas, TX
- NPI 1003083445
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
dba Baylor Scott & White the Heart Hospital - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1144262023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-437-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WALTER REED BLVD",
"address_2": "SUITE 201",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425727",
"telephone_number": "972-272-3417",
"fax_number": "972-487-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "MANISH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "L4411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1452",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154481901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154481903",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154481904",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154481902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100845220A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
- Karla Rae Guffey, MS, RD, LD, CDE
- Guidestar Eldercare Neuro-Behavioral Group - Texas PA
- Guidestar Eldercare Neuro-Psychiatric Group - Texas PA
- Brianne Elise Guillen
- Nicole Lynn Guinn
- Shilpa Gupta, D.O.
- Mitsi Gutierrez Ramal, M.D.
- Kimberly Elizabeth Gutierrez, LPC-ASSOCIATE
- Melonee McDonald Gutierrez
- Pamela Danielle Bolus Gutierrez, MS, CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.