DR. ADITYA GUPTA M.D.
NPI 1205034105
Surgery in Chicago, IL

Q: What is Aditya Gupta's NPI number?

The NPI number for Aditya Gupta is 1205034105. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Aditya Gupta's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Aditya Gupta was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment

80.83/100

CMS Quality Rating

1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 542-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 28, 2017 (3 updates tracked since 2017).

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About Dr. Aditya Gupta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADITYA GUPTA M.D. (NPI 1205034105) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036.143945) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205034105

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ADITYA GUPTACredential: M.D.

Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782

Mailing Address1146 Gunderson AveOak Park, IL 60304-2120 · (518) 253-8282

Phone(773) 542-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 3, 2007

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1205034105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IL · 036.143945✔ Licensed in MI · 4313090728

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1500 S FAIRFIELD AVE, Chicago, IL 60608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aditya Gupta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456539154

PECOS Enrollment IDI20170825001826

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

56 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140122

Location120 North Oak StHinsdale, IL 60521 · Du Page County

Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140292

Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County

Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140304

Location500 Remington BoulevardBolingbrook, IL 60440 · Will County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.96

Promoting Interoperability

Improvement Activities

Cost

63.15

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY SHAE WHITNAH

Pharmacist