Active NPI
Samir K. Gupta, M.D.
- Surgery Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01085451A
- Practice address
- 520 Mary St Ste 520
Evansville, IN 47710-1682 - Phone
- (812) 424-8231
- Fax
- (812) 435-8794
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01085451A | IN | Primary |
| Surgical Critical Care Physician | 2086S0102X | 01085451A | IN |
Addresses
Primary practice location
520 Mary St Ste 520
Evansville, IN 47710-1682
Mailing address
520 Mary St Ste 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Other practice location 1
4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231
Other practice location 2
100 St Marys Epworth Xing Ste A400
Newburgh, IN 47630-9497
Phone (812) 424-8231
Other practice location 3
801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231 ext. 2283
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201331400 | Medicaid | IN | |
| 01085451A | Other | IN | IN STATE LICENSE |
| 036100356 | Medicaid | IL | |
| 01085451B | Other | IN | IN CSR |
| 000000750011 | Other | BCBS | |
| 7100756710 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wabash General Hospital District
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 424-8231
1430 College Dr
Suite B
Mount Carmel, IL 62863-2649
Phone (618) 263-6190
801 Saint Marys Dr
Suite 200E
Evansville, IN 47714-0518
Phone (812) 424-8231
Hospital & facility affiliations
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
- Wabash General Hospital 1
- Deaconess Henderson Hospital
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.54 of 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 65.72
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.72 of 100
- Quality
- 65.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 10
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01085451A | IN | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Surgery | Current | Accepting new patients |
| Wabash General Hospital District | Current | Accepting new patients | |
| Wabash General Hospital District | Current | Accepting new patients | |
| Evansville Surgical Associates Inc | Surgery | Current | Accepting new patients |
| Wabash General Hospital District | Current | Accepting new patients | |
| St Mary's Medical Group, LLC | Past | Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500
1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
1430 College Dr
#B
Mount Carmel, IL 62863
Phone (618) 263-3869
1125 Professional Blvd
Evansville, IN 47714
Phone (812) 471-4110
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
520 Mary St
Evansville, IN 47710
Phone (812) 250-0100
520 Mary St
Ste 520
Evansville, IN 47710
Phone 8124248231267
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
801 Saint Marys Dr
Ste 200E
Evansville, IN 47714
Phone 8124248231 ext. 2220
100 St Marys Epworth Xing
Ste A400
Newburgh, IN 47630
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4133 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 250-0200
4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249
- sgupta102309@direct.rush.rush-health.com
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 Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Surgery
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
-
- General Practice Physician
- Mount Carmel, IL
- NPI 1295834208
-
dba Wabash Community Healht Center Counseling
- Federally Qualified Health Center (FQHC)
- Mount Carmel, IL
- NPI 1922645910
-
dba Ascension Medical Group St. Vincent Evansville
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1073542585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MARY ST STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
}
],
"practiceLocations": [
{
"address_1": "4133 Gateway Blvd Ste 290",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307918",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 St Marys Epworth Xing Ste A400",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476309497",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Saint Marys Dr Ste 200E",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140518",
"country_code": "US",
"telephone_number": "812-424-8231 x2283",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "SAMIR",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01085451A",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01085451A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201331400",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN STATE LICENSE",
"identifier": "01085451A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100356",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN CSR",
"identifier": "01085451B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000750011",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100756710",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.