Individual provider Active NPI

Manu Gupta, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1164492849
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N4446 Issued in TX
Practice address
3325 W Plano Pkwy
Plano, TX 75075-8010
Phone
(972) 379-0000
NPI assigned
Jan 25, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MA07520900 NJ
Physical Medicine & Rehabilitation Physician 208100000X N4446 TX Primary

Addresses

Primary practice location

3325 W Plano Pkwy
Plano, TX 75075-8010

Mailing address

PO Box 734079
Dallas, TX 75373-4079
Phone (214) 731-5955

Other practice location 1

1400 Preston Rd Ste 400
Plano, TX 75093-5189
Phone (469) 227-0340

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000841 TX Practitioner - Physical Medicine and Rehabilitation 1951370451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTX Pain and RehabGroup PAC ID 2365745858, 2 clinicians

Practice addresses (Care Compare)

2460 Marsh LN
Plano, TX 75093-1612
Phone (214) 335-9001

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
55
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07520900NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NTX Pain & Rehab Physical Medicine & Rehabilitation CurrentSince Dec 7, 2015 Accepting new patients
Marc J. Medway MD PC Past Accepting new patients
NTX Pain and Rehab, PLLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1400 Preston Rd
Ste 400
Plano, TX 75093
Phone (214) 699-1179

2460 Marsh Ln
Plano, TX 75093
Phone (214) 335-9001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1164492849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734079",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734079",
            "telephone_number": "214-731-5955",
            "fax_number": "817-284-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758010",
            "telephone_number": "972-379-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Preston Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935189",
            "country_code": "US",
            "telephone_number": "469-227-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MANU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA07520900",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N4446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.