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ANIL GUPTA M D
NPI 1699870931
Family Medicine in Columbia, IL

Active since September 13, 2006CLIA 14D0930249 · Waiver
421 S. MAIN, COLUMBIA, IL 62236(618) 281-7151(618) 281-6680 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anil Gupta M D NPPES

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

ANIL GUPTA M D (NPI 1699870931) is a healthcare organization registered as a family medicine in Columbia, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Anil Gupta, Owner, as its authorized official.

NPPES Registry Identity

NPI1699870931
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANIL GUPTA M D
Location Address421 S. MAINColumbia, IL 62236
Mailing AddressPo Box 522, 421 South Main StreetColumbia, IL 62236 · (618) 281-7151 · Fax (618) 281-6680
Phone(618) 281-7151
Fax(618) 281-6680
Organization SubpartNo
Authorized OfficialAnil GuptaOwner · (618) 281-7151
Enumeration DateSeptember 13, 2006
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1699870931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036086275
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
421 S. MAIN, Columbia, IL 62236
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Other Identifiers 1

Medicaid036086275IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anil Gupta M D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anil Gupta M D, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anil Gupta, MD
Family Practice
NPI 1912961558
421 SOUTH MAIN STREET
Columbia, IL 62236
(618) 281-7151
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0930249

Anil Gupta MD · Columbia, IL
Active · expires Jun 30, 2027
CLIA Number14D0930249
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorAnil Gupta MD
Laboratory Phone(618) 281-7151
Laboratory LocationAnil Gupta MD421 S Main St, Columbia, IL 62236
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Anil Gupta M D's NPI number?

The NPI number for Anil Gupta M D is 1699870931. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Anil Gupta M D located?

Anil Gupta M D is located at 421 S. Main, Columbia, IL 62236. The listed phone number is (618) 281-7151.

What is Anil Gupta M D's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anil Gupta M D enrolled in Medicare?

Yes. Anil Gupta M D is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anil Gupta M D?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Anil Gupta M D. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anil Gupta M D hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0930249) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anil Gupta M D was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.