GIRIRAJ GUPTA M.D.
NPI 1194916213
Orthopaedic Surgery in Manchester, KY
About Giriraj Gupta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIRIRAJ GUPTA M.D. (NPI 1194916213) is an individual orthopaedic surgery provider in Manchester, Kentucky, licensed in Kentucky (42230) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Giriraj Gupta M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Giriraj Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manchester, KY 40962
- Reassigned Medicare billing, Kentucky enrollment
- Also billed through NPI 1255471827 (Kentucky)
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph London
Acute Care Hospitals · London, KYManchester Memorial Hospital
Acute Care Hospitals · Manchester, KYBaptist Health Corbin
Acute Care Hospitals · Corbin, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40962 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Giriraj Gupta's NPI number?
The NPI number for Giriraj Gupta is 1194916213. It was assigned to this individual provider in the NPPES registry on August 5, 2007.
Where is Giriraj Gupta located?
Giriraj Gupta practices at 120 Marie Langdon Dr Suite 1, Manchester, KY 40962. The listed phone number is (606) 598-4529.
What is Giriraj Gupta's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Giriraj Gupta enrolled in Medicare?
Yes. Giriraj 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.
Which organization bills Medicare for Giriraj Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Giriraj Gupta reassigns Medicare benefits to Memorial Hospital, Inc. (Manchester, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Giriraj Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Giriraj Gupta accept?
Health plans from Anthem Blue Cross and Blue Shield list Giriraj Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Giriraj Gupta affiliated with any hospitals?
According to CMS data, Giriraj Gupta is affiliated with Saint Joseph London, Manchester Memorial Hospital and Baptist Health Corbin.
When was this NPI record last updated?
The NPPES record for Giriraj Gupta was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Giriraj Gupta, M.D. · NPI 1194916213
Orthopaedic Surgery physician in Manchester, Kentucky. Individual provider, active in the CMS NPPES registry since August 5, 2007.
## Identity
- **NPI:** 1194916213 (Entity type: Individual)
- **Enumerated:** August 5, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 42230 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 MARIE LANGDON DR, SUITE 1, Manchester, KY 40962-6352
- **Phone:** (606) 598-4529 · **Fax:** (606) 599-2529
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Hospital, Inc. (NPI 1366624488, Manchester, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** October 13, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1194916213) · Data from the CMS NPPES public registry.