Active NPI
Rajat Gupta, M.D.
- Anesthesiology Physician
- Waukegan, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036101774
- Practice address
- 1324 N Sheridan Rd
Waukegan, IL 60085-2161 - Phone
- (847) 360-3000
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036101774 | IL | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 036101774 | IL |
Addresses
Primary practice location
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Mailing address
PO Box 70
Lake Forest, IL 60045-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101774 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000482 | IL | Practitioner - Anesthesiology | 3779669114 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Anesthesia Partners LLC
Practice addresses (Care Compare)
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900
Hospital & facility affiliations
- St Alexius Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101774 | IL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| Chicago Area Partners in Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
Anesthesiology, IL
-
- Anesthesiology Physician
- Naperville, IL
- NPI 1467770685
Anesthesiology
Hospital & facility affiliations 1
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": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1790725240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600450070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 N SHERIDAN RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852161",
"telephone_number": "847-360-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "RAJAT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036101774",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036101774",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036101774",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.