Individual provider Active NPI

Vanita Gupta, MD

  • Family Medicine Physician
  • Elgin, IL
National Provider Identifier
1760583629
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036114356 Issued in IL
Practice address
87 N Airlite St Ste 130
Elgin, IL 60123-4991
Phone
(847) 888-3661
Fax
(847) 888-9964
NPI assigned
Sep 25, 2006
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036114356 IL Primary
Obstetrics Physician 207VX0000X 036114356 IL

Addresses

Primary practice location

87 N Airlite St Ste 130
Elgin, IL 60123-4991

Mailing address

87 N Airlite St Ste 130
Elgin, IL 60123-4991
Phone (847) 888-3661

Other identifiers 2

IdentifierTypeStateIssuer
4532532OtherILBLUE CROSS BLUE SHIELD
036114356MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vgupta288331@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060228000446 IL Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2365458320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1435 N Randall Rd
Suite 201
Elgin, IL 60123-2303
Phone (847) 695-3168

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

486 Randall Rd
Unit B
South Elgin, IL 60177-3354
Phone (224) 783-5000

87 N Airlite St
Suite 130
Elgin, IL 60123-4991
Phone (847) 888-3361

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Apr 26, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 26, 2021 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1435 N Randall Rd
Ste 30
Elgin, IL 60123
Phone (708) 888-3661

1435 N Randall Rd
Ste 301
Elgin, IL 60123
Phone (847) 841-7138

1950 Larkin Ave
Elgin, IL 60123
Phone (847) 742-5200

2320 Royal Blvd
#D
Elgin, IL 60123
Phone (847) 888-3661

87 N Airlite St
Ste 130
Elgin, IL 60123
Phone (847) 888-3661

Interoperability endpoints

  • Direct secure messaging: vgupta288331@direct.myadvocateaurora.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1760583629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N AIRLITE ST STE 130",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234991",
            "telephone_number": "847-888-3661",
            "fax_number": "847-888-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N AIRLITE ST STE 130",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234991",
            "telephone_number": "847-888-3661",
            "fax_number": "847-888-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VANITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036114356",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036114356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4532532",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114356",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgupta288331@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "87 N Airlite St Ste 130",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.