Individual provider Active NPI

Tapas Dasgupta, MD

  • Physical Medicine & Rehabilitation Physician
  • Highland, IN
National Provider Identifier
1386687556
Registry record updated Dec 17, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01047887A Issued in IN
Practice address
9445 Indianapolis Blvd Ste G1
Highland, IN 46322-2648
Phone
(219) 616-0197
NPI assigned
Jun 14, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 036093907 IL
Physical Medicine & Rehabilitation Physician 208100000X 01047887A IN Primary

Addresses

Primary practice location

9445 Indianapolis Blvd Ste G1
Highland, IN 46322-2648

Mailing address

6747 Fieldstone Dr
Burr Ridge, IL 60527-5262
Phone (773) 333-5874

Other practice location 1

7845 S Cottage Grove Ave
Suite 109
Chicago, IL 60619-3100
Phone (773) 333-5874

Other identifiers 1

IdentifierTypeStateIssuer
036093907MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01047887AINMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Home Health Care, Incorporated Past Accepting new patients
Keshava Medical Center LTD PastSince Jul 1, 1998 Accepting new patients
A & D Medical Center SC Past Accepting new patients
Illinois Medical Group SC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1386687556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 FIELDSTONE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275262",
            "telephone_number": "773-333-5874",
            "fax_number": "776-783-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 INDIANAPOLIS BLVD STE G1",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222648",
            "telephone_number": "219-616-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 S Cottage Grove Ave",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606193100",
            "country_code": "US",
            "telephone_number": "773-333-5874",
            "fax_number": "776-783-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "TAPAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "IL",
            "license": "036093907",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01047887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093907",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.