Aleea Gupta, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036123729 Issued in IL

Practice address

211 W Chicago Ave Ste 210
Hinsdale, IL 60521

Phone

(630) 286-9192

Fax

(386) 204-7159

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 25, 2018 through Sep 25, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Center of Plainfield, LTD

  • Family Medicine Physician
  • Plainfield, IL
  • NPI 1922295856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1023160488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W CHICAGO AVE STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213358",
            "telephone_number": "630-286-9192",
            "fax_number": "386-204-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W CHICAGO AVE STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-286-9192",
            "fax_number": "386-204-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23909 W Renwick Rd",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442108",
            "country_code": "US",
            "telephone_number": "815-436-1400",
            "fax_number": "815-436-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ALEEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69729",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036123729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynna Jantra Gripentrog, DMD
• Carla J Grobe-Daw
• Grow Within LLC
• Srilata Gundala, M.D.
• Kate Gunnell, MD
• Scott M Guth, MD
• Christina Gutierrez-Steil, MD
• Brian Gutkowski, LPC
• Stephanie Gutzmer, AU.D.
• Gwa Optical LLC

• Family Medicine Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.