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

Q: 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.

Q: What is Nimisha Gupta's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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.

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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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, and ordering and referring status from the CMS PECOS system.

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.

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