Active NPI
Manik Kumar Gupta
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 63104
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 63104 | AZ | Primary |
| Anesthesiology Physician | 207L00000X | CDR.0006114 | CO |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
3800 Woodward Ave Apt 704
Detroit, MI 48201-1980
Phone (404) 805-3042
Other practice location 1
4201 Saint Antoine St
Detroit, MI 48201
Phone (404) 805-3042
Other practice location 2
400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ponce School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522
6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (480) 854-5000
Hospital & facility affiliations
- Banner Heart Hospital
- Banner - University Medical Center Phoenix
- Banner Baywood Medical Center
- Parkview Medical Center, Inc
- Spectrum Health United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 78.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 62.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0006114 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Pca Anesthesia | Anesthesiology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Anesthesiology | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | General Practice | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
Locations
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Anesthesiology
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1164804258
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1548655681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE APT 704",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011980",
"telephone_number": "404-805-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48201",
"country_code": "US",
"telephone_number": "404-805-3042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W 16th St",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810032745",
"country_code": "US",
"telephone_number": "719-584-4045",
"fax_number": "719-542-0809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "MANIK",
"middle_name": "KUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "63104",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "CDR.0006114",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.