Nachiketa Jigyasu Gupta (NPI# 1922427368, PAC ID# 3375887698) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1922427368 |
| PAC ID by PECOS | 3375887698 |
| Professional Enrollment ID | I20181127002495 |
| Full Name | Nachiketa Jigyasu Gupta |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Address |
1907 W Sycamore St Kokomo IN 46901-5148 |
| Phone Number | 7654565433 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5395643209 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1907 W Sycamore St, Kokomo, IN 46901-5148 | 7654565433 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip A Brewer | Internal Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Raphael Anthony Carter | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1451 N Gardner St, Scottsburg, IN 47170-7751 |
| Kent S Sutterer | Osteopathic Manipulative Medicine | Southeastern Emergency Physicians of Memphis LLC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| William Langston Jr. | Pediatric Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| J Scott Ries | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Tamarrah C Davis | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| Street Address |
1907 W SYCAMORE ST |
| City | KOKOMO |
| State | IN |
| Zip | 46901-5148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Fredrick Strus | Psychologist, Clinical | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Alfredo Jaojoco Tumbali | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Lisa Darlene Stults | Nurse Practitioner | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Dara Anita Josiah-howze | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| J Scott Ries | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Onyekachi Nwabuko | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Betty Jo A Mills | Diagnostic Radiology | Healogics Specialty Physicians of Indiana LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Abigail A Campbell | Clinical Social Worker | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Derek Tennenhouse | Internal Medicine | Healogics Specialty Physicians of Indiana LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Karen Sofie Samuels | Nurse Practitioner | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Brooks Ladd | Chiropractic | 2136 N Cooper St, Kokomo, IN 46901-1697 | |
| Bradley J Vossberg | Physical Medicine and Rehabilitation | 829 N Dixon Rd, Kokomo, IN 46901-1759 | |
| Tara L Eytcheson | Clinical Social Worker | 1539 E 100, Kokomo, IN 46901-3413 | |
| Patrick Mario Webb | Clinical Psychologist | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Kimberly Yvette Morris | Clinical Psychologist | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Joseph Lawrence Hill | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| David Frank Stouse | Clinical Social Worker | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Umamaheswara R Kalapatapu | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Christopher M Kerby | Optometry | Preferred Eye Care, LLC | 2315 W Jefferson St, Kokomo, IN 46901-4119 |
| Andrew Burkhart | Optometry | Preferred Eye Care, LLC | 2315 W Jefferson St, Kokomo, IN 46901-4119 |
| Find all physicians in zip 46901 | |||
| City | KOKOMO |
| Zip Code | 46901 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KOKOMO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Nachiketa Jigyasu Gupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.