Organization Active NPI

Arun Gupta MD PC

  • General Practice Physician
  • Monroe, MI
National Provider Identifier
1669640314
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301047791 Issued in MI
Legal business name
ARUN GUPTA MD PC
Practice address
1094 N Monroe St
Monroe, MI 48162-3193
Phone
(734) 241-7162
Fax
(734) 241-9102
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Arun Gupta, MDNPI 1841225166
Title
President
Phone
(734) 241-7162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 4301047791 MI Primary

Addresses

Primary practice location

1094 N Monroe St
Monroe, MI 48162-3193

Mailing address

1094 N Monroe St
Monroe, MI 48162-3193
Phone (734) 241-7162

Other identifiers 3

IdentifierTypeStateIssuer
0105815672OtherMIBLUE CARE NETWORK
0581567OtherMIBLUE CROSS BLUE SHEILD
4198592MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041014000425 MI Part B Supplier - Clinic/Group Practice 1850351883 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0368226Arun Gupta MD1094 N Monroe, Monroe, MI 48162Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1094 N Monroe St
Monroe, MI 48162
Phone (734) 241-7162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1669640314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-241-7162",
            "fax_number": "734-241-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-241-7162",
            "fax_number": "734-241-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUN GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-241-7162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301047791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0105815672",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0581567",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4198592",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.