SUSHANE GUPTA
NPI 1467015941
Emergency Medicine in Hazel Crest, IL

Q: What is Sushane Gupta's NPI number?

The NPI number for Sushane Gupta is 1467015941. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Q: What is Sushane Gupta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Sushane Gupta was last updated on July 3, 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.

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment

17800 KEDZIE AVE, HAZEL CREST, IL 60429(708) 213-4200(708) 213-0144 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2023, Apr 12, 2022, Apr 23, 2019 and 1 more (4 updates tracked since 2019).

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About Sushane Gupta NPPES

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

SUSHANE GUPTA (NPI 1467015941) is an individual emergency medicine provider in Hazel Crest, Illinois, licensed in Illinois (036159430) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467015941

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSUSHANE GUPTA

Location Address17800 KEDZIE AVEHazel Crest, IL 60429-2029

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(708) 213-4200

Fax(708) 213-0144

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2019

Enumeration DateApril 19, 2019

Last NPPES UpdateJuly 3, 20234 updates tracked since enumeration

NPPES CertifiedJuly 3, 2023

✔ NPI 1467015941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036159430

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

17800 KEDZIE AVE, Hazel Crest, IL 60429

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Secondary Practice Locations 2

Location 16071 W Outer DrDetroit, MI 48235-2624 · Phone (313) 966-3329

Location 22320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-5430 · Fax (773) 967-4205

Other Identifiers 1

Other036-159430IL · License

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

Sushane Gupta 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 ID1557694742

PECOS Enrollment IDI20220617001829

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

428 services424 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

160 services155 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

112 services109 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

72 services69 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140029

Location2000 Ogden AvenueAurora, IL 60504 · Kane County

Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

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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.

GINGER YVONNE CLINTON MD

Emergency Medicine