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

Q: 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.

Q: What is Harsh Gupta's specialty?

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

Q: 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.

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: November 01, 2026.

On this page

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

Phone(847) 491-9020

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Harsh Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Illinois Gastroenterology Group, LLC

34 mi

Gastroenterology

745 FLETCHER DRIVE
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
235 clinicians in this Medicare group

NPI 1316277817 (847) 888-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

43 services42 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

29 services12 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

26 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 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.

12 services12 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

Quality

73.16

Promoting Interoperability

Improvement Activities

Cost

77.98

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.

AJIT KUMAR KESANI M.D.

Internal Medicine (Nephrology)

800 AUSTIN ST, ST. FRANCIS PROFESSIONAL BUILDING, WEST TOWER SUITE 503
EVANSTON, IL 60202

Cook County (847) 864-5550

ENVISION MOBILE IMAGING, LLC

Clinic/Center (Radiology, Mobile)

800 AUSTIN ST
EVANSTON, IL 60202

Cook County (312) 515-0289

ALBERTO E FOSCHI MD

Internal Medicine (Cardiovascular Disease)

800 AUSTIN ST, SUITE 454 EAST TOWER
EVANSTON, IL 60202

Cook County (847) 864-4370

DR. CHARLES R GRUNER M.D.

Surgery

800 AUSTIN ST, EAST TOWER, SUITE 563
EVANSTON, IL 60202

Cook County (847) 869-0522

DR. HENRY ISAAC MEISELS M.D.

Ophthalmology

800 AUSTIN ST, SUITE 401W
EVANSTON, IL 60202

Cook County (847) 425-9400

BENJAMIN PHILLIPS

Counselor (Mental Health)

800 AUSTIN ST
EVANSTON, IL 60202

Cook County (847) 868-8664

YOUSEF DARWISH MD.PC

Specialist

800 AUSTIN ST, SUITE 163
EVANSTON, IL 60202

Cook County (847) 316-3880

VISION SURGEONS AND CONSULTANTS, LTD

Surgery

800 AUSTIN ST, EAST TOWER STE 151
EVANSTON, IL 60202

Cook County (847) 328-2300

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.

Which organization bills Medicare for Harsh Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harsh Gupta reassigns Medicare benefits to Illinois Gastroenterology Group, LLC (Elgin, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harsh Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.