CHARU GUPTA MD
NPI 1689834418
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Vernon Hills, IL

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
225 N MILWAUKEE AVE, VERNON HILLS, IL 60061(847) 663-8410(847) 570-1865 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2021, Apr 2, 2019, Apr 24, 2017 (3 updates tracked since 2017).

About Charu Gupta Md NPPES

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

CHARU GUPTA MD (NPI 1689834418) is an individual advanced heart failure and transplant cardiology provider in Vernon Hills, Illinois, licensed in Illinois (036142074) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2008).

NPPES Registry Identity

NPI1689834418
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameCHARU GUPTACredential: MD
Location Address225 N MILWAUKEE AVEVernon Hills, IL 60061
Mailing Address225 N Milwaukee AveVernon Hills, IL 60061-4304 · (847) 663-8410 · Fax (847) 570-1865
Fax(847) 570-1865
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
NPI 1689834418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in IL · 036142074
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036142074 (IL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036142074 (IL)
225 N MILWAUKEE AVE, Vernon Hills, IL 60061

Accepted 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

Charu 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 ID2365757648
PECOS Enrollment IDI20170112002559
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
311 services114 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
176 services121 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.
83 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services76 patients
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.
43 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60061 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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier18 claims18 services$18.28 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims21 services$35.14 avg. paid by Medicare
Injection, dobutamine hydrochloride, per 250 mg J1250
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier17 claims152 services$5.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Advanced Practice Midwife
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Physical Therapist
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Obstetrics & Gynecology
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Advanced Practice Midwife
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Internal Medicine (Cardiovascular Disease)
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Physical Therapist
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Obstetrics & Gynecology
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Obstetrics & Gynecology
225 N MILWAUKEE AVE
VERNON HILLS, IL 60061

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 Charu Gupta's NPI number?

The NPI number for Charu Gupta is 1689834418. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Charu Gupta located?

Charu Gupta practices at 225 N Milwaukee Ave, Vernon Hills, IL 60061. The listed phone number is (847) 663-8410.

What is Charu Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Charu Gupta enrolled in Medicare?

Yes. Charu 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 Charu Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Charu 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 Charu Gupta affiliated with any hospitals?

According to CMS data, Charu Gupta is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Charu Gupta was last updated on April 2, 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.