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DR. ROHAN GUPTA M.D.
NPI 1811304462
Internal Medicine in Chicago, IL

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
84/100
CMS Quality Rating
1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rohan Gupta M.d. NPPES

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

DR. ROHAN GUPTA M.D. (NPI 1811304462) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125064792) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811304462
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROHAN GUPTACredential: M.D.
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-6000
Phone(312) 864-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 15, 2014
✔ NPI 1811304462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125064792
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1901 W HARRISON ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dr. Rohan Gupta M.d. 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 ID3971809930
PECOS Enrollment IDI20170929002761
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 4

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.

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.
120 services114 patients
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.
50 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.27
Promoting Interoperability100
Improvement Activities40
Cost57.88

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.

JOHANNA WEFES-POTTER
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (847) 843-2000
ARON BERHANU GUDETTA MD
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. LIGAYA VILLAFRANCA MARASIGAN M.D.
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Cook County (312) 864-5901
TIN TIN THOMAS M.D.
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
COOK COUNTY
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6189
HELEN ELIZABETH STRAUS MD
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-0060
MR. GLEN DERRICK TRAMMELL PA-C
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 869-7488
JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 319-2085

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 Rohan Gupta's NPI number?

The NPI number for Rohan Gupta is 1811304462. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Rohan Gupta located?

Rohan Gupta practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Rohan Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rohan Gupta enrolled in Medicare?

Yes. Rohan 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 Rohan Gupta accept?

Health plans from Molina Healthcare list Rohan 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.

When was this NPI record last updated?

The NPPES record for Rohan Gupta was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.