Individual provider Active NPI

Manik Kumar Gupta

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1548655681
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
63104 Issued in AZ
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

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200713001721 MI Practitioner - Anesthesiology 9739481128 Reassigns benefits to 1 organization
I20210722001891 AZ Practitioner - Anesthesiology 9739481128 Reassigns benefits to 7 organizations
I20260319000765 CO Practitioner - Anesthesiology 9739481128 Reassigns benefits to 1 organization

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
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
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

LicenseStateTypeSpecialty
CDR.0006114COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Sep 24, 2023 Accepting new patients
Pca Anesthesia Anesthesiology CurrentSince May 31, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Sep 24, 2023 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Sep 29, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 12, 2026 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Sep 22, 2024 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 12, 2026 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC General Practice CurrentSince Jan 5, 2026 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Apr 3, 2024 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.

View all 17

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.