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

Last updated

May 21, 2024By the provider in NPPES

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

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

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.

• Dupage Eye Center, LTD.

  dba DuPage Eye Center

  • Ophthalmology Physician
  • Downers Grove, IL
  • NPI 1003993866
  Medicare reassignment Care Compare group NPD
• Gupta Eye Center LLC

  • Medical Specialty Clinic/Center
  • Wheaton, IL
  • NPI 1902362403
  Medicare reassignment NPD Authorized official
• Northwest Eye Center

  • Ophthalmology Physician
  • Barrington, IL
  • NPI 1093898967
  Medicare reassignment Care Compare group NPD
• Ophthalmology Associates LTD

  • Ophthalmology Physician
  • Elgin, IL
  • NPI 1558418525
  Medicare reassignment Care Compare group NPD
• Retina Institute of Illinois PC

  • Ophthalmology Physician
  • Niles, IL
  • NPI 1417037623
  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

• Retina Specialist (Ophthalmology) Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• 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.