DR. SURAJ GUPTA
NPI 1083877633
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4385 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Suraj Gupta NPPES

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

DR. SURAJ GUPTA (NPI 1083877633) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4301092529) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1083877633
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SURAJ GUPTA
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address1606 Oakfield DrAnn Arbor, MI 48108-3382
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateJuly 3, 2008
Last NPPES UpdateFebruary 11, 2022
NPI 1083877633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4301092529
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.
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Suraj Gupta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385860287
PECOS Enrollment IDI20151111000860
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.

Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suraj Gupta's NPI number?

The NPI number for Suraj Gupta is 1083877633. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Suraj Gupta located?

Suraj Gupta practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4385.

What is Suraj Gupta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Suraj Gupta enrolled in Medicare?

Yes. Suraj Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Suraj Gupta was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.