MR. ISHAN GUPTA MD
NPI 1255787487
Psychiatry & Neurology - Addiction Medicine in Detroit, MI

Q: What is Ishan Gupta's NPI number?

The NPI number for Ishan Gupta is 1255787487. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Q: What is Ishan Gupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Ishan Gupta was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 06, 2016PECOS Enrolled

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2022, Jun 5, 2020, Aug 9, 2018 (3 updates tracked since 2018).

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About Mr. Ishan Gupta Md NPPES

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

MR. ISHAN GUPTA MD (NPI 1255787487) is an individual addiction medicine provider in Detroit, Michigan, licensed in Ohio (35.139078) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255787487

Entity TypeIndividualMale

Primary Taxonomy2084A0401X

Provider Legal NameMR. ISHAN GUPTACredential: MD

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916

Phone(313) 576-1000

Sole ProprietorNo

Enumeration DateMay 6, 2016

Last NPPES UpdateJune 8, 20263 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1255787487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

Licenses✔ Licensed in OH · 35.139078✔ Licensed in MI · 4301500842

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301500842 (MI), 35.139078 (OH)

4646 JOHN R ST, Detroit, MI 48201

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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)

Mr. Ishan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program