Individual provider Active NPI

Manu Gupta, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1477507234
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L6409 Issued in TX
Practice address
3500 Gaston Avenue
Dallas, TX 75246
Phone
(214) 826-8822
Fax
(214) 826-9792
NPI assigned
May 19, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L6409 TX Primary

Addresses

Primary practice location

3500 Gaston Avenue
Dallas, TX 75246

Mailing address

712 N Washington Ave
Suite 101
Dallas, TX 75246-1619
Phone (214) 826-8822

Other identifiers 3

IdentifierTypeStateIssuer
168041502MedicaidTX
168041501MedicaidTX
168041505MedicaidTX

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
I20040413001583 TX Practitioner - Diagnostic Radiology 1557355393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jan 1, 2017 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2013 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jul 2, 2013 Accepting new patients
Btdi JV LLP CurrentSince Dec 29, 2014 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Sep 10, 2018 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Blue Stone JV LLP CurrentSince Apr 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2013 Accepting new patients
Btdi JV, LLP CurrentSince Jun 29, 2015 Accepting new patients
Baylor University Medical Center Past Accepting new patients
Btdi JV, LLP PastSince Jan 1, 2017 Accepting new patients
Medical Imaging of Dallas, LLP PastSince Jun 30, 2004 Accepting new patients

Locations (25 of 51)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

1441 W Jefferson Blvd
Dallas, TX 75208

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 404
Dallas, TX 75246
Phone (214) 824-6718

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3920 Worth St
Dallas, TX 75246
Phone (214) 443-3000

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

411 N Washington Ave
Ste 1000
Dallas, TX 75246
Phone (214) 820-8770

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

712 N Washington Ave
Ste 101
Dallas, TX 75246
Phone (214) 826-8822

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

9109 N Central Expy
Ste 100
Dallas, TX 75231

9109 N Central Expy
Ste 200
Dallas, TX 75231

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 265-9991

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 380-7923

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1450 8th Ave
Ft Worth, TX 76104
Phone (817) 702-8300

Interoperability endpoints

  • Direct secure messaging: mgupta@direct.uspi.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1477507234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MANU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L6409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168041502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168041501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168041505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.