Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Krishan Kumar Gupta, MD

Individual provider Family Medicine Physician · NPI 1598769176

Dr. Krishan Kumar Gupta, MD is a Psychiatry in Jackson, Mississippi. Qualified in 1977, 49 years ago. Practices with Ridgewood Clinics PA, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
49
Licensed in
MS
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1059 Ridgewood Pl
Jackson, MS 39211-2018
Phone: (601) 957-3211
Fax: (601) 957-9753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4038 West Rd, Cortland, NY 13045-1842 — (607) 758-3008

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 12941 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12941 (MS)

Record details

NPI number1598769176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2005
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing addressPo Box 13531, Jackson, MS 39236-3531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Ridgewood Clinics Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson