ROHIT GUPTA MD
NPI 1649358672
Pathology - Hematology in Naperville, IL

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
801 S WASHINGTON STREET, EDWARD HOSPITAL, NAPERVILLE, IL 60566(630) 355-0450(630) 527-3911 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rohit Gupta Md NPPES

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

ROHIT GUPTA MD (NPI 1649358672) is an individual hematology provider in Naperville, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1649358672
Entity TypeIndividualMale
Primary Taxonomy207ZH0000X
Provider Legal NameROHIT GUPTACredential: MD
Location Address801 S WASHINGTON STREET, EDWARD HOSPITALNaperville, IL 60566-7060
Mailing AddressDepartment 4387Carol Stream, IL 60122-4387 · (630) 355-0450 · Fax (630) 527-3911
Fax(630) 527-3911
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1649358672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZH0000X
Definition
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
801 S WASHINGTON STREET, Naperville, IL 60566

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rohit 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 ID9335147271
PECOS Enrollment IDI20061201000162
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 Reassignments

3

Medicare enrollment records show Rohit Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
Anatomic Pathology
1220 HOBSON RD STE 244
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 24

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.
1,185 services189 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.
775 services395 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.
311 services164 patients
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.
307 services58 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.
242 services204 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
225 services166 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60566 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Blood Banking & Transfusion Medicine)
801 S WASHINGTON STREET, EDWARD HOSPITAL
NAPERVILLE, IL 60566
Pathology (Anatomic Pathology & Clinical Pathology)
801 S WASHINGTON STREET, EDWARD HOSPITAL
NAPERVILLE, IL 60566
Pathology (Hematology)
801 S WASHINGTON STREET, EDWARD HOSPITAL
NAPERVILLE, IL 60566
Pathology (Anatomic Pathology & Clinical Pathology)
801 S WASHINGTON STREET, EDWARD HOSPITAL
NAPERVILLE, IL 60566
Pathology (Anatomic Pathology & Clinical Pathology)
801 S WASHINGTON STREET, EDWARD HOSPITAL
NAPERVILLE, IL 60566

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 Rohit Gupta's NPI number?

The NPI number for Rohit Gupta is 1649358672. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Rohit Gupta located?

Rohit Gupta practices at 801 S Washington Street Edward Hospital, Naperville, IL 60566. The listed phone number is (630) 355-0450.

What is Rohit Gupta's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Is Rohit Gupta enrolled in Medicare?

Yes. Rohit 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.

Which organizations bill Medicare for Rohit Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rohit Gupta reassigns Medicare benefits to 3 organizations: Laboratory & Pathology Diagnostics, LLC (Naperville, IL), Associated Pathologists And Laboratory Physicians, LLC (Naperville, IL) and Dupage Medical Group Ltd (Downers Grove, IL). Each 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 Rohit Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rohit Gupta accept?

Health plans from Oscar Health and Oscar Insurance Company list Rohit 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 Rohit Gupta affiliated with any hospitals?

According to CMS data, Rohit Gupta is affiliated with Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Rohit Gupta was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.