NPIMap

Individual provider Active NPI

Vivek Gupta, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1376632976
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36116218 Issued in IL
Practice address
2720 W Division St
Chicago, IL 60622-2853
Phone
(773) 523-8600
Fax
(773) 687-9545
NPI assigned
Oct 12, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36116218 IL Primary

Addresses

Primary practice location

2720 W Division St
Chicago, IL 60622-2853

Mailing address

PO Box 3603
Oak Brook, IL 60523-3603
Phone (773) 772-7858

Other identifiers 5

IdentifierTypeStateIssuer
3137024OtherILCIGNA
QMX000000107962OtherILAETNA BETTER HEALTH
P00669790OtherILRAILROAD MEDICARE
20013250OtherILHEALTH CONNECT
12372491OtherILCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vgupta255487@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061127000084 IL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric Medicine 7113925322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice, Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivek Gupta, M.D., S.C.Group PAC ID 3678668308, 28 clinicians

Practice addresses (Care Compare)

2720 W Division St
Chicago, IL 60622-2853
Phone (773) 772-7858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as individual
Quality
86.25
Improvement activities
40
Cost
77.17

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
53.2
Promoting interoperability
89
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116218ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivek Gupta, M.D., S.C. Internal Medicine CurrentSince Oct 1, 2006 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients

Locations

2331 W Chicago Ave
Chicago, IL 60622
Phone (773) 772-7858

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

2615 W Division St
Chicago, IL 60622
Phone (773) 394-4935

2720 W Division St
Chicago, IL 60622
Phone (773) 523-8600

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

7733 W Grand Ave
Elmwood Park, IL 60707
Phone (708) 452-9200

1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200

Interoperability endpoints

  • Direct secure messaging: vgupta255487@direct.myadvocateaurora.org
  • Direct secure messaging: vivekgupta@jph.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aperion Care InternationalChicago, IL, CCN 146001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2013
Jan 1, 2013
Foster Health & Rehabilitation Center LLCChicago, IL, CCN 146167 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2021
May 1, 2021
Clark ManorChicago, IL, CCN 145507 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 30, 2016
Aug 30, 2016
Aperion Care LakeshoreChicago, IL, CCN 145244 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2021
Sep 1, 2021
Ryze WestChicago, IL, CCN 145661 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 17, 2024
Dec 17, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376632976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233603",
            "telephone_number": "773-772-7858",
            "fax_number": "773-276-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222853",
            "telephone_number": "773-523-8600",
            "fax_number": "773-687-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36116218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3137024",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "QMX000000107962",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00669790",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CONNECT",
            "identifier": "20013250",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12372491",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgupta255487@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2720 W Division St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606222853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2720 W Division St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606222853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.