Samir K Gupta, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036094940 Issued in IL

Practice address

333 Madison St
Joliet, IL 60435-8200

Phone

(815) 725-7222

Fax

(815) 725-7080

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pathology

Education

Northwestern University Feinberg Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associate Pathologists of Joliet PLLCGroup PAC ID 0446260855, 4 clinicians

Addison-Central Pathology PLLCGroup PAC ID 0840288304, 15 clinicians

Alliance Pathology Consultants PLLCGroup PAC ID 5496928558, 13 clinicians

Gi Partners of Illinois PLLCGroup PAC ID 2567758295, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Pathology Consultants, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Elk Grove Village, IL
  • NPI 1972881613
  Medicare reassignment Care Compare group NPD
• Gi Partners of Illinois, PLLC

  • Gastroenterology Physician
  • Libertyville, IL
  • NPI 1548613995
  Medicare reassignment Care Compare group NPD
• Addison-Central Pathology PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1902902281
  Medicare reassignment Care Compare group
• Associate Pathologists of Joliet PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Joliet, IL
  • NPI 1457468092
  Medicare reassignment Care Compare group
• Anil K Khemani MD SC

  • Cardiovascular Disease Physician
  • Woodstock, IL
  • NPI 1609891712
  NPD (past)
• Midwest Diagnostic Pathology SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Park Ridge, IL
  • NPI 1982606380
  NPD (past)

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

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1407844517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7222",
            "fax_number": "815-725-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7222",
            "fax_number": "815-725-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SAMIR",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036094940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samindi Malika Gunasekara, M.D.
• Holly L Gunderson, M.D.
• Megan Gunier
• Allison Gunnink, MBA, LPMT, MT-BC
• Atul N Gupta, MD
• Aaron Gurfinchel, MD
• Ellen J Gustafson, MD
• Daniel Gutierrez, M.D.
• Jessica Kandis Gutierrez, FNP-BC
• Susan Gwodz, FNP

• Anatomic Pathology & Clinical Pathology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.

Verify at the official NPI Registry.