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DR. NIMISHA GUPTA M.D.
NPI 1376751172
Pediatrics - Neonatal-Perinatal Medicine in Rockford, IL

Active since May 18, 2007PECOS Enrolled
1401 E STATE ST, ROCKFORD, IL 61104(779) 696-4400 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Nimisha Gupta M.d. NPPES

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

DR. NIMISHA GUPTA M.D. (NPI 1376751172) is an individual neonatal-perinatal medicine provider in Rockford, Illinois, licensed in Illinois (036-137025) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1376751172
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. NIMISHA GUPTACredential: M.D.
Location Address1401 E STATE STRockford, IL 61104-2315
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Phone(779) 696-4400
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1376751172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IL · 036-137025✔ Licensed in MI · 4301083163
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 4301083163 (MI)
1401 E STATE ST, Rockford, IL 61104
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Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-1436 · Fax (313) 745-5867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nimisha Gupta M.d. 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 Nimisha Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Pediatricians
310 mi
Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 clinicians in this Medicare group
NPI 1033143904 (313) 745-5214

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

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.

MRS. MANISHA AJIT PATEL DPT
Physical Therapist
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4470
DR. THOMAS DANKO MD
Pediatrics
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (779) 696-4400
SWEDISHAMERICAN HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 968-4400
RADIOLOGY CONSULTANTS OF ROCKFORD LTD
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4760
TIMOTHY A DEMING N.P.
Nurse Practitioner
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (414) 290-6720
ELAINE M WINEBRENNER PT
Physical Therapist
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (779) 696-7500
MARTIN BUTLER MD
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (888) 696-7820
HEATHER R FREY N.P.
Nurse Practitioner
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (414) 290-6720

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 Nimisha Gupta's NPI number?

The NPI number for Nimisha Gupta is 1376751172. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Nimisha Gupta located?

Nimisha Gupta practices at 1401 E State St, Rockford, IL 61104. The listed phone number is (779) 696-4400.

What is Nimisha Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Nimisha Gupta enrolled in Medicare?

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

Which organization bills Medicare for Nimisha Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nimisha Gupta reassigns Medicare benefits to University Pediatricians (Detroit, MI). 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 Nimisha Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nimisha Gupta accept?

Health plans from Aspirus Health Plan list Nimisha Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nimisha Gupta was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.