ISHAN KUMAR GUPTA
NPI 1669314746
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Ishan Gupta's NPI number?

The NPI number for Ishan Gupta is 1669314746. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Ishan Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ishan Gupta was last updated on April 7, 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.

Active since April 07, 2026PECOS Enrolled

26224 N TATUM BLVD STE 5, PHOENIX, AZ 85050(480) 882-7580(480) 563-7442 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ishan Kumar Gupta NPPES

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

ISHAN KUMAR GUPTA (NPI 1669314746) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669314746

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISHAN KUMAR GUPTA

Location Address26224 N TATUM BLVD STE 5Phoenix, AZ 85050-7500

Mailing Address7400 E Thompson Peak PkwyScottsdale, AZ 85255-4109

Phone(480) 882-7580

Fax(480) 563-7442

Sole ProprietorNo

Enumeration DateApril 7, 2026

NPPES CertifiedApril 6, 2026

✔ NPI 1669314746 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

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.

26224 N TATUM BLVD STE 5, Phoenix, AZ 85050

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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)

Ishan Kumar Gupta 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.

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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.

JENNIFER SONG

Student in an Organized Health Care Education/Training Program