Individual provider Active NPI

Amit Gupta, M.D.

  • Emergency Medicine Physician
  • Maywood, IL
National Provider Identifier
1245423573
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036157347 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000
NPI assigned
Aug 21, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036157347 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 856-8705

Other practice location 1

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 989-3800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902001350 IL Practitioner - Emergency Medicine 0941385710 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Park Health Emergency Medicine LLCGroup PAC ID 7618365800, 9 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians
New Rose Healthcare Management LLCGroup PAC ID 4981010048, 18 clinicians

Practice addresses (Care Compare)

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

45 W 111TH St
Chicago, IL 60628-4200
Phone (773) 995-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157347ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Rose Healthcare Management LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Humboldt Park Health Emergency Medicine, LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Medicine Physicians of Cook County LLC Emergency Medicine CurrentSince Apr 7, 2022 Accepting new patients
Loyola University Medical Center CurrentSince Sep 19, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 14, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Sep 19, 2022 Accepting new patients
Emerge Medstaffing LLC CurrentSince Sep 25, 2022 Accepting new patients
Endeavor Health Medical Group Emergency Medicine CurrentSince Nov 14, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Jan 26, 2023 Accepting new patients
Emerge Medstaffing LLC Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 29, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 29, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Swedish Covenant Management Services, Inc Emergency Medicine CurrentSince Jan 26, 2023 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

9532 Eagle Way
Chicago, IL 60678

30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1245423573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-856-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253661",
            "country_code": "US",
            "telephone_number": "773-989-3800",
            "fax_number": "773-907-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036157347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.