DR. MANOJ K GUPTA M.D.
NPI 1780817460
Pediatrics - Pediatric Cardiology in Bronx, NY

Active since August 28, 2009PECOS Enrolled
3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2487 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2019, Dec 28, 2018 (2 updates tracked since 2018).

About Dr. Manoj K Gupta M.d. NPPES

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

DR. MANOJ K GUPTA M.D. (NPI 1780817460) is an individual pediatric cardiology provider in Bronx, New York, licensed in New York (296718) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780817460
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MANOJ K GUPTACredential: M.D.
Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403
Mailing Address3415 Bainbridge AveBronx, NY 10467-2403 · (718) 741-2487
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2009
Last NPPES UpdateFebruary 4, 20192 updates tracked since enumeration
✔ NPI 1780817460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in NY · 296718✔ Licensed in OH · 098759✔ Licensed in TN · 52737✔ Licensed in VA · 0101258037
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 4301094670 (MI)
3415 BAINBRIDGE AVE, Bronx, NY 10467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Manoj K Gupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032423983
PECOS Enrollment IDI20190125001403
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Manoj Gupta reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Internal Medicine
4422 THIRD AVENUE, BRAKER BUILDING
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 256 clinicians in this Medicare group
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
Radiology
115 W SUNRISE HWY
Freeport, NY 11520
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western Nassau Diagnostic Imaging Services PC
  • 24 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467

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 Manoj Gupta's NPI number?

The NPI number for Manoj Gupta is 1780817460. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Manoj Gupta located?

Manoj Gupta practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2487.

What is Manoj Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Manoj Gupta enrolled in Medicare?

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

Which organizations bill Medicare for Manoj Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manoj Gupta reassigns Medicare benefits to 7 organizations: Montefiore Medical Center (Bronx, NY), Sbh Physicians, PC (Bronx, NY), Downtown Bronx Medical Associates PC (Bronx, NY), Harlem Medical Associates PC (New York, NY), Physician Affiliate Group Of New York PC (New York, NY) and 2 more organizations, listed in the Medicare section above. Each 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 Manoj Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Manoj Gupta affiliated with any hospitals?

According to CMS data, Manoj Gupta is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Manoj Gupta was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.