SAMIR K GUPTA M.D.
NPI 1407844517
Pathology - Anatomic Pathology & Clinical Pathology in Joliet, IL

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
333 MADISON ST, JOLIET, IL 60435(815) 725-7222(815) 725-7080 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samir K Gupta M.d. NPPES

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

SAMIR K GUPTA M.D. (NPI 1407844517) is an individual anatomic pathology & clinical pathology provider in Joliet, Illinois, licensed in Illinois (036094940) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Presence Mercy Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1993).

NPPES Registry Identity

NPI1407844517
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameSAMIR K GUPTACredential: M.D.
Location Address333 MADISON STJoliet, IL 60435-8200
Mailing Address333 Madison StJoliet, IL 60435-8200 · (815) 725-7222 · Fax (815) 725-7080
Fax(815) 725-7080
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1993
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
NPI 1407844517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IL · 036094940
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
333 MADISON ST, Joliet, IL 60435

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

Samir K Gupta M.d. 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 ID7416141577
PECOS Enrollment IDI20101102001204
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 8

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
272 services56 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
243 services152 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
114 services86 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
78 services45 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
47 services39 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
35 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140174
Location1325 N Highland AvenueAurora, IL 60506 · Kane County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Emergency Medicine
333 MADISON ST
JOLIET, IL 60435
Psychiatric Unit
333 MADISON ST
JOLIET, IL 60435
Physical Therapy Assistant
333 MADISON ST
JOLIET, IL 60435
Orthopaedic Surgery (Hand Surgery)
333 MADISON ST
JOLIET, IL 60435
Pathology (Anatomic Pathology & Clinical Pathology)
333 MADISON ST
JOLIET, IL 60435
Pathology (Anatomic Pathology & Clinical Pathology)
333 MADISON ST
JOLIET, IL 60435
Emergency Medicine
333 MADISON ST
JOLIET, IL 60435
Anesthesiology
333 MADISON ST
JOLIET, IL 60435

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 Samir Gupta's NPI number?

The NPI number for Samir Gupta is 1407844517. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Samir Gupta located?

Samir Gupta practices at 333 Madison St, Joliet, IL 60435. The listed phone number is (815) 725-7222.

What is Samir Gupta's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Samir Gupta enrolled in Medicare?

Yes. Samir 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.

Is Samir Gupta affiliated with any hospitals?

According to CMS data, Samir Gupta is affiliated with Presence Mercy Medical Center and Alexian Brothers Medical Center 1.

When was this NPI record last updated?

The NPPES record for Samir Gupta was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.