Organization Active NPI

Seema Gupta MD PC

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1093045080
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036089994 Issued in IL
Legal business name
SEEMA GUPTA MD PC
Practice address
640 S Washington St
Ste 280
Naperville, IL 60540-6603
Phone
(630) 778-9362
Fax
(630) 778-9448
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Seema Gupta, MD
Title
Provider/Owner
Phone
(630) 983-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036089994 IL Primary

Addresses

Primary practice location

640 S Washington St
Ste 280
Naperville, IL 60540-6603

Mailing address

640 S Washington St
Ste 280
Naperville, IL 60540-6603
Phone (630) 778-9362

Other identifiers 1

IdentifierTypeStateIssuer
036089994MedicaidIL

National Provider Directory

National Provider Directory

Locations

640 S Washington St
Ste 280
Naperville, IL 60540
Phone (630) 778-9362

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1093045080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "address_2": "STE 280",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "630-778-9362",
            "fax_number": "630-778-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "address_2": "STE 280",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "630-778-9362",
            "fax_number": "630-778-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEMA GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "630-983-7530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089994",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.