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AYUSH GUPTA MD
NPI 1205773884
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since May 01, 2026PECOS Enrolled
11900 E 12 MILE RD STE 205, WARREN, MI 48093(586) 582-7033(586) 582-7034 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ayush Gupta Md NPPES

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

AYUSH GUPTA MD (NPI 1205773884) is an individual student in an organized health care education/training program in Warren, Michigan, licensed in Michigan (4351056468) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205773884
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAYUSH GUPTACredential: MD
Location Address11900 E 12 MILE RD STE 205Warren, MI 48093-3499
Mailing Address11900 E 12 Mile Rd Ste 205Warren, MI 48093-3499 · (586) 582-7033
Phone(586) 582-7033
Fax(586) 582-7034
Sole ProprietorYes
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1205773884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351056468
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.
11900 E 12 MILE RD STE 205, Warren, MI 48093
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayush 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 9

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

ANASTASIYA YASHCHUK DO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033
MR. JACOB XAVIER MCCLELLAN DO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033
MICHAEL WILCOX DO
Psychiatry & Neurology (Neurology)
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033
MICHAEL JOSEPH MCCARTHY MD
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033
SHAD M HINES DO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7034
MANHA AZAM
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033
CHRISTOPHER HANANI DO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033
SILVIA TIFFANY MENKES DO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 205
WARREN, MI 48093
Macomb County (586) 582-7033

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 Ayush Gupta's NPI number?

The NPI number for Ayush Gupta is 1205773884. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Ayush Gupta located?

Ayush Gupta practices at 11900 E 12 Mile Rd Ste 205, Warren, MI 48093. The listed phone number is (586) 582-7033.

What is Ayush 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 Ayush Gupta enrolled in Medicare?

Yes. Ayush Gupta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayush Gupta was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.