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VEENA KAWATRA GUPTA M.D.
NPI 1790713899
Family Medicine in Mount Vernon, IL

Active since June 28, 2006PECOS Enrolled
3307 BROADWAY ST, STE 140, MOUNT VERNON, IL 62864(618) 244-7200(618) 244-7274 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Veena Kawatra Gupta M.d. NPPES

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

VEENA KAWATRA GUPTA M.D. (NPI 1790713899) is an individual family medicine provider in Mount Vernon, Illinois, licensed in Illinois (036065879) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790713899
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVEENA KAWATRA GUPTACredential: M.D.
Location Address3307 BROADWAY ST, STE 140Mount Vernon, IL 62864-2347
Mailing Address3307 Broadway, Ste 140Mount Vernon, IL 62864-2347 · (618) 244-7200 · Fax (618) 244-7274
Phone(618) 244-7200
Fax(618) 244-7274
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1790713899 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 · 036065879
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.
3307 BROADWAY ST, Mount Vernon, IL 62864
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Other Identifiers 3

Medicare UPINC44123IL
Medicare ID-Type UnspecifiedP11928IL
Medicaid036065879IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Veena Kawatra Gupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Veena Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Services Corporation Of Southern Illinois Inc.
0.7 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

LORMED LLC
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
3307 BROADWAY ST, SUITE 150
MOUNT VERNON, IL 62864
Jefferson County (618) 244-2850
BRAD MCMILLIN, INC
Hearing Aid Equipment
3307 BROADWAY ST, SUITE 160
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4901
MR. JAMES EDWARD KEELER PA-C
Physician Assistant (Medical)
3307 BROADWAY ST, SUITE 140
MOUNT VERNON, IL 62864
Jefferson County (618) 244-7200
CARE FIRST MEDICAL CENTER
Family Medicine
3307 BROADWAY ST, STE 140
MOUNT VERNON, IL 62864
Jefferson County (618) 244-7200
PHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY
Clinic/Center (Rural Health)
3307 BROADWAY ST, STE 130
MOUNT VERNON, IL 62864
Jefferson County (618) 244-2560

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 Veena Gupta's NPI number?

The NPI number for Veena Gupta is 1790713899. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Veena Gupta located?

Veena Gupta practices at 3307 Broadway St Ste 140, Mount Vernon, IL 62864. The listed phone number is (618) 244-7200.

What is Veena Gupta's specialty?

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

Is Veena Gupta enrolled in Medicare?

Yes. Veena Gupta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Veena Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veena Gupta reassigns Medicare benefits to Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL). The 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 Veena Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Veena Gupta was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.