Narendra Kumar Gupta, M.D., F.A.C.S.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Practice address

1054 Martin Luther King Drive
Suite 125
Centralia, IL 62801

Phone

(618) 532-1155

Fax

(618) 532-1117

NPI assigned

Apr 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487618351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 MARTIN LUTHER KING DRIVE",
            "address_2": "SUITE 125",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-1155",
            "fax_number": "618-532-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 MARTIN LUTHER KING DRIVE",
            "address_2": "SUITE 125",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-1155",
            "fax_number": "618-532-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NARENDRA",
        "middle_name": "KUMAR",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "02900086",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athena A Gordon, M.S.
• Grand Prairie CCSD 6
• Camille Deanna Greider, MSN,RN,FNP-BC
• Guardian Homes LLC
• Geeta Gupta, M.D.
• Kathleen Gyore
• Bethany Hall
• Kerry Hammond, MSED, ATC/LAT
• Mary Hammond
• Bethany Hanks

• Orthopaedic Surgery Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.