Active NPI
Soumya Gupta, M.B.B.S.
- Cardiovascular Disease Physician
- Chicago, IL
National Provider Identifier
1194475608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036175826
- Practice address
- 1950 W Polk St Ste 5210
Chicago, IL 60612-3723 - Phone
- (312) 937-4634
- NPI assigned
- Mar 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036175826 | IL | Primary |
Addresses
Primary practice location
1950 W Polk St Ste 5210
Chicago, IL 60612-3723
Mailing address
1950 W Polk St Ste 5201
Chicago, IL 60612-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710004087 | IL | Order and Referring Only - Cardiovascular Disease (Cardiology) | 5991210890 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036175826 | IL | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- sgupta117426@mskcc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1194475608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W POLK ST STE 5201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 W POLK ST STE 5210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723",
"telephone_number": "312-937-4634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SOUMYA",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-27",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036175826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.