Nisha Gupta, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

141533 Issued in IL

Practice address

310 S County Farm Rd Ste B
Wheaton, IL 60187-2409

Phone

(630) 407-1300

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Ophthalmology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dupage Eye Center LTDGroup PAC ID 7618935834, 2 clinicians

Ophthalmology Associates, LTDGroup PAC ID 9133173438, 4 clinicians

Northwest Eye CenterGroup PAC ID 0749317402, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nisha.gupta.p1@direct.dupageeyecenter.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Dupage Eye Center, LTD.

  • Ophthalmology Physician
  • Downers Grove, IL
  • NPI 1003993866

  IL, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Gupta Eye Center LLC

  • Medical Specialty Clinic/Center
  • Wheaton, IL
  • NPI 1902362403

  IL

  Medicare reassignment NPD Authorized official
• Northwest Eye Center

  • Ophthalmology Physician
  • Barrington, IL
  • NPI 1093898967

  IL, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Ophthalmology Associates LTD

  • Ophthalmology Physician
  • Elgin, IL
  • NPI 1558418525

  IL, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Retina Institute of Illinois PC

  • Ophthalmology Physician
  • Niles, IL
  • NPI 1417037623

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1659665263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S COUNTY FARM RD STE B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872409",
            "telephone_number": "630-407-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S COUNTY FARM RD STE B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872409",
            "telephone_number": "630-407-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME124167",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "141533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Guimon, PT, DPT
• Maura Guimonwarren, COMS
• Caitlyn B Gunst, MHP
• Gupta Eye Center LLC
• Ashok Kumar Gupta, M.D.
• Punj Kumar Gupta, MD
• Jeanette Gurrister
• Joshua Guthrie
• Ekaterina Guvva, RN
• Kimberly Carroll Guyton, PA-C

• All providers in Wheaton, IL
• Retina Specialist (Ophthalmology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.