Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manik Kumar Gupta

Individual provider Anesthesiology Physician · NPI 1548655681

Manik Kumar Gupta is an Anesthesiology in Phoenix, Arizona. Graduated from Ponce School of Medicine in 2015, 11 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
11
Trained at
Ponce School of Medicine
Licensed in
AZ, CO
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 W 16th St, Pueblo, CO 81003-2745 — (719) 584-4045
  • 4201 Saint Antoine St, Detroit, MI 48201 — (404) 805-3042

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 63104 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence CDR.0006114 (CO)

Record details

NPI number1548655681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2015
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Phoenix