Individual provider Active NPI

Samir K. Gupta, M.D.

  • Surgery Physician
  • Evansville, IN
National Provider Identifier
1073542585
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01085451A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201331400MedicaidIN
01085451AOtherININ STATE LICENSE
036100356MedicaidIL
01085451BOtherININ CSR
000000750011OtherBCBS
7100756710MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101217000833 IL Practitioner - General Surgery 4486544939 Reassigns benefits to 3 organizations
I20210803000913 IN Practitioner - General SurgeryPractitioner - Other (Physician) 4486544939 Reassigns benefits to 1 organization
I20240709002232 KY Practitioner - General Surgery 4486544939 Reassigns benefits to 1 organization

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
Evansville Surgical Associates IncGroup PAC ID 1557346723, 45 clinicians
Wabash General Hospital DistrictGroup PAC ID 8022908185, shared by 10 NPIs, 77 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
37.54 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
65.72

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01085451AINMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Surgery CurrentSince Oct 1, 2020 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Evansville Surgical Associates Inc Surgery CurrentSince Jul 31, 2021 Accepting new patients
Wabash General Hospital District CurrentSince Aug 1, 2024 Accepting new patients
St Mary's Medical Group, LLC PastSince Jul 31, 2021 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.