DR. BALAJI GUPTA MD
NPI 1992767818
Ophthalmology in Lombard, IL

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
2500 S HIGHLAND AVE, SUITE 110, LOMBARD, IL 60148(630) 495-2220 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Balaji Gupta Md NPPES

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

DR. BALAJI GUPTA MD (NPI 1992767818) is an individual ophthalmology provider in Lombard, Illinois, licensed in Illinois (36-081843) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (1988).

NPPES Registry Identity

NPI1992767818
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BALAJI GUPTACredential: MD
Location Address2500 S HIGHLAND AVE, SUITE 110Lombard, IL 60148-5363
Mailing Address2500 S Highland Ave, Suite 110Lombard, IL 60148-5363 · (630) 495-2220
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1988
Enumeration DateApril 5, 2006
Last NPPES UpdateMay 12, 2010
NPI 1992767818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 36-081843
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2500 S HIGHLAND AVE, Lombard, IL 60148

Other Identifiers 1

Medicare UPINF38777

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. Balaji 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 ID8022006196
PECOS Enrollment IDI20040506000160
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 17

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
899 services852 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
420 services334 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
257 services247 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
237 services219 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
234 services234 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
215 services215 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
2500 S HIGHLAND AVE, SUITE 342
LOMBARD, IL 60148
Internal Medicine
2500 S HIGHLAND AVE, SUITE 230
LOMBARD, IL 60148
Dermatology (MOHS-Micrographic Surgery)
2500 S HIGHLAND AVE, SUITE 200
LOMBARD, IL 60148
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 S HIGHLAND AVE, STE 104
LOMBARD, IL 60148
Speech-Language Pathologist
2500 S HIGHLAND AVE, SUITE 330
LOMBARD, IL 60148
Internal Medicine (Pulmonary Disease)
2500 S HIGHLAND AVE, SUITE 325
LOMBARD, IL 60148
General Practice
2500 S HIGHLAND AVE
LOMBARD, IL 60148
Counselor (Professional)
2500 S HIGHLAND AVE
LOMBARD, IL 60148

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 Balaji Gupta's NPI number?

The NPI number for Balaji Gupta is 1992767818. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Balaji Gupta located?

Balaji Gupta practices at 2500 S Highland Ave Suite 110, Lombard, IL 60148. The listed phone number is (630) 495-2220.

What is Balaji Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Balaji Gupta enrolled in Medicare?

Yes. Balaji 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.

Is Balaji Gupta affiliated with any hospitals?

According to CMS data, Balaji Gupta is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Balaji Gupta was last updated on May 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.