Organization Active NPI

Krishna K. Gupta, M.D., PC

  • Psychiatry Physician
  • Rochester, MI
National Provider Identifier
1235385048
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301046834 Issued in MI
Legal business name
KRISHNA K. GUPTA, M.D., PC
Practice address
1135 W University Dr
Suite 325 Crittenton Medical Building
Rochester, MI 48307-1871
Phone
(248) 652-8347
Fax
(248) 650-4576
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Krishna K. Gupta, M.D.NPI 1922149376
Title
Solo Practice
Phone
(248) 652-8347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301046834 MI Primary

Addresses

Primary practice location

1135 W University Dr
Suite 325 Crittenton Medical Building
Rochester, MI 48307-1871

Mailing address

1135 W University Dr
Suite 325 Crittenton Medical Building
Rochester, MI 48307-1871
Phone (248) 652-8347

Other identifiers 1

IdentifierTypeStateIssuer
1922149376OtherMINPI

National Provider Directory

National Provider Directory

Locations

1135 W University Dr
Ste 325
Rochester Hls, MI 48307
Phone (248) 652-8347

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1235385048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 325 CRITTENTON MEDICAL BUILDING",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-652-8347",
            "fax_number": "248-650-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 325 CRITTENTON MEDICAL BUILDING",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-652-8347",
            "fax_number": "248-650-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA K. GUPTA, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "SOLO PRACTICE",
        "authorized_official_telephone_number": "248-652-8347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301046834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922149376",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.