CHIRAAG CHANDRA GUPTA MD
NPI 1073183836
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since June 24, 2021PECOS Enrolled
920 MADISON AVE, MEMPHIS, TN 38103(901) 448-0233 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chiraag Chandra Gupta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIRAAG CHANDRA GUPTA MD (NPI 1073183836) is an individual student in an organized health care education/training program in Memphis, Tennessee, licensed in Michigan (4351048103) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073183836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHIRAAG CHANDRA GUPTACredential: MD
Location Address920 MADISON AVEMemphis, TN 38103-3438
Mailing Address920 Madison Ave Ste 447Memphis, TN 38103-3438 · (901) 448-0233
Sole ProprietorNo
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1073183836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351048103
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE, Memphis, TN 38103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chiraag Chandra Gupta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
920 MADISON AVE, SUITE C50
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE, SUITE C50
MEMPHIS, TN 38103
Internal Medicine
920 MADISON AVE, SUITE C50
MEMPHIS, TN 38103
Nurse Practitioner (Family)
920 MADISON AVE, SUITE 939
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE, SUITE 447
MEMPHIS, TN 38103
General Acute Care Hospital
920 MADISON AVE, SUITE 447
MEMPHIS, TN 38103
Emergency Medicine
920 MADISON AVE, SUITE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE
MEMPHIS, TN 38103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073183836, enumerated as an "individual" on June 24, 2021.

The provider is located at 920 MADISON AVE MEMPHIS, TN 38103 and the phone number is (901) 448-0233.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.