Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992891857 Individual Practitioner Male Practitioner

Dr. Krishan G Gupta , MD

Urology • Riverdale, GA

Professional Overview & Biography Verified Profile Summary

Dr. Krishan Gupta, MD is a registered healthcare professional specializing in Urology in Riverdale, GA. Practice services are available at 150 MEDICAL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Medical Way

Riverdale, GA 30274

Telephone 7709916364
Fax 7709916473
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Riverdale, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Riverdale, GA (422 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 027208

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00368541A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Amanda Holloway

Counselor - Professional

NPI 1114385598
Dr. Sadrudin Sarangi , MD

Internal Medicine - Rheumatology

NPI 1154467991

Doctor of Medicine (M.D.)

Cameron Barham , MSPT

Physical Therapist

NPI 1184844102

Master of Science in Physical Therapy

Dr. Amber Burns , PT, DPT

Physical Therapist

NPI 1265813059

Physical Therapist, Doctor of Physical Therapy

Dr. Traci Jordan , PT, DPT

Physical Therapist

NPI 1356624910

Physical Therapist, Doctor of Physical Therapy

Maria Anjanette Nunez , PT

Physical Therapist

NPI 1396154837

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 150 MEDICAL WAY, RIVERDALE, GA 30274 (Tel: 7709916364)

📍
Updated Business Mailing Address July 08, 2007

Registered at 150 MEDICAL WAY, RIVERDALE, GA 30274 (Tel: 7709916364)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KRISHAN GUPTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #027208 in GA)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992891857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

150 Medical Way

Riverdale, GA 30274

Phone: 7709916364

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.