Active NPI
Rajan Gupta, MD
- Trauma Surgery Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 12787
- Practice address
- 1 Elliot Way
Manchester, NH 03103-3599 - Phone
- (603) 627-1102
- NPI assigned
- Aug 1, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 12787 | NH | |
| Surgical Critical Care Physician | 2086S0102X | 12787 | NH | |
| Trauma Surgery Physician | 2086S0127X | 12787 | NH | Primary |
Addresses
Primary practice location
1 Elliot Way
Manchester, NH 03103-3599
Mailing address
4 Elliot Way Ste 201
Manchester, NH 03103-3553
Phone (603) 663-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Boston University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
Hospital & facility affiliations
- Elliot Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12787 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Professional Services | Current | Accepting new patients | |
| Elliot Hospital of the City of Manchester | Past | Accepting new patients | |
| University of Penn-PA Trauma | Surgery | Past | Accepting new patients |
Locations
4 Elliot Way
Manchester, NH 03103
Phone (603) 627-1669
4 Elliot Way
Ste 201
Manchester, NH 03103
Phone (603) 623-3836
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
-
- Surgical Critical Care Physician
- Philadelphia, PA
- NPI 1275640971
Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1922014422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ELLIOT WAY STE 201",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033553",
"telephone_number": "603-663-3838",
"fax_number": "603-663-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELLIOT WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033599",
"telephone_number": "603-627-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "RAJAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "12787",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NH",
"license": "12787",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NH",
"license": "12787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.