SHWETA GUPTA MD
NPI 1376781252
Internal Medicine - Medical Oncology in Chicago, IL

Q: What is Shweta Gupta's NPI number?

The NPI number for Shweta Gupta is 1376781252. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Q: What is Shweta Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Shweta Gupta was last updated on April 26, 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 January 30, 2009PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

1901 W HARRISON ST, DEPARTMENT OF MEDICINE, CHICAGO, IL 60612(312) 864-7229 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2021, Jun 25, 2020 (2 updates tracked since 2020).

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About Shweta Gupta Md NPPES

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

SHWETA GUPTA MD (NPI 1376781252) is an individual medical oncology provider in Chicago, Illinois, licensed in Illinois (036-122802) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1376781252

Entity TypeIndividualFemale

Primary Taxonomy207RX0202X

Provider Legal NameSHWETA GUPTACredential: MD

Location Address1901 W HARRISON ST, DEPARTMENT OF MEDICINEChicago, IL 60612-3714

Mailing Address2147 Allegre Cir, Apartment # 110Naperville, IL 60563-2684 · (312) 375-9559

Phone(312) 864-7229

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 30, 2009

Last NPPES UpdateApril 26, 20212 updates tracked since enumeration

NPPES CertifiedApril 26, 2021

✔ NPI 1376781252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in IL · 036-122802

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-122802 (IL)

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 036-122802 (IL)

1901 W HARRISON ST, Chicago, IL 60612

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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.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

Shweta Gupta Md 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 ID1658555313

PECOS Enrollment IDI20110405000749

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 3

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.

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.

153 services59 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.

14 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$183.39 typical visit price

range $60.08 – $183.39

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

Most-billed visit code 99205

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.

84.57/100

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

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

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.

JOHANNA WEFES-POTTER

Emergency Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (847) 843-2000

ARON BERHANU GUDETTA MD

Internal Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6000

DR. LIGAYA VILLAFRANCA MARASIGAN M.D.

Obstetrics & Gynecology (Gynecology)

1901 W HARRISON ST
CHICAG, IL 60612

Cook County (312) 864-5901

TIN TIN THOMAS M.D.

Internal Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6000

COOK COUNTY

Pharmacy (Clinic Pharmacy)

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6189

HELEN ELIZABETH STRAUS MD

Emergency Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-0060

MR. GLEN DERRICK TRAMMELL PA-C

Physician Assistant

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (773) 869-7488

JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY

General Acute Care Hospital

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (773) 319-2085

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 Shweta Gupta's NPI number?

The NPI number for Shweta Gupta is 1376781252. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Shweta Gupta located?

Shweta Gupta practices at 1901 W Harrison St Department Of Medicine, Chicago, IL 60612. The listed phone number is (312) 864-7229.

What is Shweta Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Shweta Gupta enrolled in Medicare?

Yes. Shweta Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shweta Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shweta 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.

Is Shweta Gupta affiliated with any hospitals?

According to CMS data, Shweta Gupta is affiliated with John H Stroger Jr Hospital and Trinity Rock Island.

When was this NPI record last updated?

The NPPES record for Shweta Gupta was last updated on April 26, 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.