MANISHA GUPTA M.D.
NPI 1336250505
Internal Medicine in Saginaw, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
1000 HOUGHTON AVE, SAGINAW, MI 48602(989) 583-6812(989) 583-6915 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manisha Gupta M.d. NPPES

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

MANISHA GUPTA M.D. (NPI 1336250505) is an individual internal medicine provider in Saginaw, Michigan, licensed in Michigan (4301074089) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1336250505
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMANISHA GUPTACredential: M.D.
Location Address1000 HOUGHTON AVESaginaw, MI 48602-5303
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 583-6812 · Fax (989) 583-6915
Fax(989) 583-6915
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1336250505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301074089
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1000 HOUGHTON AVE, Saginaw, MI 48602

Other Identifiers 8

Medicare UPINH63058MI
Medicare ID-Type Unspecified0G36021MI · Medicare Group
Other152198MI · Great Lakes Health Plan
Other700G360210MI · Bcbsm Group
Medicare ID-Type Unspecified0G36021038MI · Medicare
Other381870664MI · Tax Id
OtherMG074089MI · License
Medicaid4791306MI

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

Manisha 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.

PECOS PAC ID2769386465
PECOS Enrollment IDI20080118000031
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier18 claims10,008 services$0.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1000 HOUGHTON AVE, 1100 INTERNAL MEDICINE
SAGINAW, MI 48602
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Emergency Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Nurse Practitioner (Pediatrics)
1000 HOUGHTON AVE
SAGINAW, MI 48602
Pediatrics
1000 HOUGHTON AVE
SAGINAW, MI 48602
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Internal Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Emergency Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602

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 Manisha Gupta's NPI number?

The NPI number for Manisha Gupta is 1336250505. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Manisha Gupta located?

Manisha Gupta practices at 1000 Houghton Ave, Saginaw, MI 48602. The listed phone number is (989) 583-6812.

What is Manisha Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manisha Gupta enrolled in Medicare?

Yes. Manisha 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 Manisha Gupta was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.