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DR. NEHA GUPTA
NPI 1932489903
Internal Medicine in Chicago, IL

Active since August 23, 2011PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
4646 N MARINE DR, CHICAGO, IL 60640(773) 564-5225 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Neha Gupta NPPES

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

DR. NEHA GUPTA (NPI 1932489903) is an individual internal medicine provider in Chicago, Illinois, licensed in Wisconsin (60849) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1932489903
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEHA GUPTA
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4980 N Marine Dr, Apt 731Chicago, IL 60640-3969 · (513) 668-2421
Phone(773) 564-5225
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 23, 2011
Last NPPES UpdateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1932489903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 60849
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4646 N MARINE DR, Chicago, IL 60640
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neha Gupta 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 ID4880828300
PECOS Enrollment IDI20131016000006
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 Reassignments

2

Medicare enrollment records show Neha Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc
76 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
76 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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

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.

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.
90 services42 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.
41 services16 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.
32 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$14.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$66.10 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.

ANAYASH BHATTARAI MD
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225
AMRO ABBAS TAHA
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (177) 391-2073
SHAMEEM SULTANA MD
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5966
WEISS MEMORIAL HOSPITAL
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (312) 622-7977
JOHN CHERF MD SC
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Cook County (800) 843-0355
DR. MICHELE MARIE DELSIGNORE D.O.
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5216
MRS. LAINIE JOY O'DONNELL MA, CCC-SLP
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Cook County (773) 564-5425
DR. MOHAMMED OMAR JAHANGIR M.D.
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225

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 Neha Gupta's NPI number?

The NPI number for Neha Gupta is 1932489903. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Neha Gupta located?

Neha Gupta practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 564-5225.

What is Neha Gupta's specialty?

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

Is Neha Gupta enrolled in Medicare?

Yes. Neha 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.

Which organizations bill Medicare for Neha Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Gupta reassigns Medicare benefits to 2 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each 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 Neha Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neha Gupta accept?

Health plans from Anthem Blue Cross and Blue Shield list Neha 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 Neha Gupta affiliated with any hospitals?

According to CMS data, Neha Gupta is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Neha Gupta was last updated on May 19, 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.