Active NPI
Amit Gupta, M.D.
- Emergency Medicine Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036157347
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Aug 21, 2007
- Last updated
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036157347 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Rose Healthcare Management LLC | Emergency Medicine | Current | Accepting new patients |
| Humboldt Park Health Emergency Medicine, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Emerge Medstaffing LLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Emergency Medicine | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Emerge Medstaffing LLC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1104592120
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1043816515
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
Emergency Medicine
-
dba Swedish Covenant Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1811697287
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Chicago Heights, IL
- NPI 1780167841
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Loyola University Medical Center Cancer Center
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
dba Roseland Community Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1568472819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.