Active NPI
Venkata S Gupta, MD
- Pediatrics Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.150240
- Practice address
- 3333 Burnet Ave
ML 7009
Cincinnati, OH 45229-3026 - Phone
- (312) 404-8849
- NPI assigned
- Jul 3, 2017
- Last updated
- Aug 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.150240 | OH | Primary |
| Pediatrics Physician | 208000000X | 036-172098 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | IMLC.MD.70130552 | WA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 01100143A | IN |
Addresses
Primary practice location
3333 Burnet Ave
ML 7009
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave
ML 7009
Cincinnati, OH 45229-3026
Phone (312) 404-8849
Other practice location 1
3900 Washington Ave
Evansville, IN 47714-0550
Phone (812) 485-4000
Other practice location 2
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-172098 | IL | MD | Pediatrics Physician |
| 01100143A | IN | MD | Neonatal-Perinatal Medicine Physician |
| IMLC.MD.70130552 | WA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Internal Medicine | Current | Accepting new patients |
| Children's Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Children's Hospital Medical Center | Past | Accepting new patients | |
| Christ Hospital | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
#7009
Cincinnati, OH 45229
Phone (513) 636-4225
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba SBL Physician Billing
- Family Medicine Physician
- Mattoon, IL
- NPI 1568581379
Internal Medicine
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1033630785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 7009",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "312-404-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 7009",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "312-404-8849"
}
],
"practiceLocations": [
{
"address_1": "3900 Washington Ave",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140550",
"country_code": "US",
"telephone_number": "812-485-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-238-4325",
"fax_number": "217-348-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "VENKATA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-03",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.150240",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-172098",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WA",
"license": "IMLC.MD.70130552",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IN",
"license": "01100143A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.