DR. HARSH V GUPTA MD
NPI 1295727436
Internal Medicine - Gastroenterology in Evanston, IL

Active since August 15, 2005PECOS Enrolled
85.09/100
CMS Quality Rating
800 AUSTIN ST, SUITE 505 WEST TOWER, EVANSTON, IL 60202(847) 491-9020(847) 491-0182 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Harsh V Gupta Md NPPES

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

DR. HARSH V GUPTA MD (NPI 1295727436) is an individual gastroenterology provider in Evanston, Illinois, licensed in Illinois (036-059650) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295727436
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HARSH V GUPTACredential: MD
Location Address800 AUSTIN ST, SUITE 505 WEST TOWEREvanston, IL 60202-3439
Mailing Address20 Tower Ct, Suite CGurnee, IL 60031-5711 · (847) 244-2960 · Fax (847) 244-2986
Fax(847) 491-0182
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
NPI 1295727436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 036-059650
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
800 AUSTIN ST, Evanston, IL 60202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Harsh V Gupta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
125 services118 patients
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.
103 services53 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
65 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
58 services58 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.
56 services48 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.
52 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

85.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.16
Promoting Interoperability99
Improvement Activities40
Cost77.98

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.

Internal Medicine (Nephrology)
800 AUSTIN ST, ST. FRANCIS PROFESSIONAL BUILDING, WEST TOWER SUITE 503
EVANSTON, IL 60202
Clinic/Center (Radiology, Mobile)
800 AUSTIN ST
EVANSTON, IL 60202
Internal Medicine (Cardiovascular Disease)
800 AUSTIN ST, SUITE 454 EAST TOWER
EVANSTON, IL 60202
Counselor (Mental Health)
800 AUSTIN ST
EVANSTON, IL 60202
Surgery
800 AUSTIN ST, EAST TOWER, SUITE 563
EVANSTON, IL 60202
Ophthalmology
800 AUSTIN ST, SUITE 401W
EVANSTON, IL 60202
Specialist
800 AUSTIN ST, SUITE 163
EVANSTON, IL 60202
Surgery
800 AUSTIN ST, EAST TOWER STE 151
EVANSTON, IL 60202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harsh Gupta's NPI number?

The NPI number for Harsh Gupta is 1295727436. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Harsh Gupta located?

Harsh Gupta practices at 800 Austin St Suite 505 West Tower, Evanston, IL 60202. The listed phone number is (847) 491-9020.

What is Harsh Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Harsh Gupta enrolled in Medicare?

Yes. Harsh Gupta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Harsh Gupta was last updated on December 28, 2021. 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.