Organization Active NPI

Anshu Gupta, MD, P.C.

  • Internal Medicine Physician
  • Evanston, IL
National Provider Identifier
1235574237
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036094836 Issued in IL
Legal business name
ANSHU GUPTA, MD, P.C.
Practice address
800 Austin St
Suite 607, West Tower
Evanston, IL 60202-3439
Phone
(847) 650-8044
Fax
(847) 475-6065
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Anshu Gupta, MD
Title
MD
Phone
(847) 650-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036094836 IL Primary

Addresses

Primary practice location

800 Austin St
Suite 607, West Tower
Evanston, IL 60202-3439

Mailing address

1051 Romona Rd
Wilmette, IL 60091-1273
Phone (847) 650-8044

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 404W
Evanston, IL 60202
Phone (847) 650-8044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22830/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1235574237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ROMONA RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911273",
            "telephone_number": "847-650-8044",
            "fax_number": "847-475-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 607, WEST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-650-8044",
            "fax_number": "847-475-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSHU GUPTA, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANSHU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-650-8044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.