Individual provider Active NPI

Rajesh Gupta, MD

  • Diagnostic Radiology Physician
  • Dearborn, MI
National Provider Identifier
1598021750
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301114392 Issued in MI
Practice address
840 Oakwood Blvd
Dearborn, MI 48124
Phone
(856) 332-4872
Fax
(313) 359-7678
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Harris Birkhill Wang Songe and Assoc PC 63 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5142

18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7301

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6005

25045 Ford Rd
Suite 100
Dearborn, MI 48128-1088
Phone (313) 359-7650

33101 Annapolis St
Wayne, MI 48184-2405
Phone (313) 359-7600

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3877

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

Merit-based Incentive Payment System (MIPS)

Final score
53.55 of 100Reported as group
Quality
30
Improvement activities
40
Cost
57.47

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180726003444 MI Practitioner - Diagnostic Radiology 0648527267 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301114392MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations

840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600

18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Interoperability endpoints

  • Direct secure messaging: rgupta536074@direct.hfhs.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301114392 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

840 Oakwood Blvd
Dearborn, MI 48124

Mailing address

840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone (313) 359-7600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2021.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1598021750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242319",
            "telephone_number": "313-359-7600",
            "fax_number": "313-359-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "856-332-4872",
            "fax_number": "313-359-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301114392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.