DR. ANIL GUPTA MD
NPI 1912961558
Family Medicine in Columbia, IL

Q: What is Anil Gupta's NPI number?

The NPI number for Anil Gupta is 1912961558. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Q: What is Anil Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anil Gupta was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment

421 SOUTH MAIN STREET, COLUMBIA, IL 62236(618) 281-7151(618) 281-6680 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Mar 3, 2025, May 6, 2024 (3 updates tracked since 2024).

On this page

About Dr. Anil Gupta Md NPPES

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

DR. ANIL GUPTA MD (NPI 1912961558) is an individual family medicine provider in Columbia, Illinois, licensed in Illinois (036086275) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1990).

NPPES Registry Identity

NPI1912961558

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANIL GUPTACredential: MD

Location Address421 SOUTH MAIN STREETColumbia, 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

Sole ProprietorYes

Medical School CMSSaint Louis University School Of MedicineGraduated 1990

Enumeration DateApril 12, 2006

Last NPPES UpdateApril 2, 20253 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1912961558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036086275✔ Licensed in MO · 104738✔ Licensed in IN · 01070862A

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 104738 (MO), 036086275 (IL), 01070862A (IN)

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 104738 (MO), 036086275 (IL)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 036086275 (IL)

421 SOUTH MAIN STREET, Columbia, IL 62236

Open in Google Maps ↗

Other Identifiers 1

Medicaid036086275IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Anil 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 ID9335032028

PECOS Enrollment IDI20040205001080

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services18 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.

56 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62236 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

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's NPI number?

The NPI number for Anil Gupta is 1912961558. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Anil Gupta located?

Anil Gupta practices at 421 South Main Street, Columbia, IL 62236. The listed phone number is (618) 281-7151.

What is Anil Gupta's specialty?

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

Is Anil Gupta enrolled in Medicare?

Yes. Anil 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 Anil Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Anil 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 Anil Gupta was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.