Supriya Gupta, MD - Medicare Diagnostic Radiology in Kankakee, IL

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Supriya Gupta, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kankakee, Illinois. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Dhhs Phs Naihs Shiprock Hospital, Dhhs,phs,naihs Gallup Indian Medical Center, Lubbock County Hospital District, Memorial Mri And Diagnostic Llc, Dhhs Phs Naihs Chinle Comprehensive Health Care Facility, Faculty Physicians And Surgeons Of Llusm, Florida Hospital Medical Group Inc, Bayhealth Radiologists Llc, On-line Radiology Medical Group Inc, Thorek Radiology Group Nfp, Radiology Associates Of Albuquerque Pa, Advanced Radiology Services Pc, Empire State Radiology P C, Northwestern Medical Faculty Foundation, Pco Pc, Central Valley Community Medical Imaging, Dickinson County Healthcare System, Humboldt Park Health, Central Illinois Radiological Associates Ltd, Christiana Care Health Services Inc, Carilion Medical Center, Interfaith Professional Physician Services Pc, Partners Imaging Center Of Sarasota Llc, La Paz Regional Hospital Inc, Grays Harbor Community Hospital, Edward W Sparrow Hospital Association, Msu Health Care Inc, Christiana Care Health Services Inc and her current practice location is 500 W Court St, Kankakee, Illinois. You can reach out to her office (for appointments etc.) via phone at (877) 737-4636.

Supriya Gupta is licensed to practice in Illinois (license number 036143198) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548521883.

Contact Information

Supriya Gupta, MD
500 W Court St,
Kankakee, IL 60901
(877) 737-4636
Not Available

Map and Direction




Physician's Profile

Full NameSupriya Gupta
GenderFemale
SpecialityDiagnostic Radiology
Experience17 Years
Location500 W Court St, Kankakee, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Supriya Gupta graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1548521883
  • Provider Enumeration Date: 06/04/2012
  • Last Update Date: 08/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5092004523
  • Enrollment ID: I20191203000373

Medical Identifiers

Medical identifiers for Supriya Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548521883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD-52771 (Iowa)Secondary
2085R0202XRadiology - Diagnostic Radiology C1-0025655 (Delaware)Secondary
2085R0202XRadiology - Diagnostic Radiology ME140594 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301501114 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology A163071 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology 036143198 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Medical CenterKankakee, ILHospital
Mclaren Northern MichiganPetoskey, MIHospital
Northwestern Memorial HospitalChicago, ILHospital
Adventhealth OrlandoOrlando, FLHospital
Adventhealth WatermanTavares, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhhs Phs Naihs Shiprock Hospital0749193837119
Dhhs,phs,naihs Gallup Indian Medical Center3173436409134
Lubbock County Hospital District438553894173
Memorial Mri And Diagnostic Llc650785956856
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility9436062585146
Faculty Physicians And Surgeons Of Llusm11532278141153
Florida Hospital Medical Group Inc0042383200279
Bayhealth Radiologists Llc044660187680
On-line Radiology Medical Group Inc064831154864
Thorek Radiology Group Nfp165878642136
Radiology Associates Of Albuquerque Pa286030448293
Advanced Radiology Services Pc4284546516243
Empire State Radiology P C4385075241246
Northwestern Medical Faculty Foundation45875768143871
Pco Pc539517932972
Central Valley Community Medical Imaging579967987492
Dickinson County Healthcare System680078494392
Humboldt Park Health892190707293
Central Illinois Radiological Associates Ltd9436061827162
Christiana Care Health Services Inc97390975691380
Carilion Medical Center9830096585914
Interfaith Professional Physician Services Pc9931378171348
Partners Imaging Center Of Sarasota Llc004221786117
La Paz Regional Hospital Inc155727335647
Grays Harbor Community Hospital357746236591
Edward W Sparrow Hospital Association6709799166633
Msu Health Care Inc8628404936210
Christiana Care Health Services Inc97390975691380

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Supriya Gupta allows following entities to bill medicare on her behalf.
Entity NameDhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083643738
PECOS PAC ID: 1759290901
Enrollment ID: O20031105000797
Entity NameDhhs Phs Naihs Shiprock Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780639971
PECOS PAC ID: 0749193837
Enrollment ID: O20031105000809
Entity NameDhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210
Entity NameDhhs,phs,naihs Gallup Indian Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225002322
PECOS PAC ID: 3173436409
Enrollment ID: O20031111000840
Entity NameLubbock County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437170313
PECOS PAC ID: 4385538941
Enrollment ID: O20040212000864
Entity NameEl Paso County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316936990
PECOS PAC ID: 2365431509
Enrollment ID: O20040511001452
Entity NameMemorial Mri And Diagnostic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912989120
PECOS PAC ID: 6507859568
Enrollment ID: O20051209000488
Entity NameCentral Texas Radiological Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861452864
PECOS PAC ID: 4385740141
Enrollment ID: O20070511000036
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396022026
PECOS PAC ID: 0244405629
Enrollment ID: O20120105000013
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719934
PECOS PAC ID: 7810163011
Enrollment ID: O20120109000961

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Supriya Gupta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supriya Gupta, MD
1036 Hickory Dr,
Western Springs, IL 60558-5000

Ph: () -		Supriya Gupta, MD
500 W Court St,
Kankakee, IL 60901

Ph: (877) 737-4636

Reviews and Comments


Radiology Doctors in Kankakee, IL

Dr. Howard I Roth, M.D.
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Phone: 815-933-1671    
Dr. Brian Ruiz De Luzuriaga, M.D.
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Practice Location: 350 N Wall St, Kankakee, IL 60901
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Stephen Supple, MD
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Ryan J Meiners, MD
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Dr. Tyler Hall Cornelius, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
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Jeffery P Mendell, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Wall St, Kankakee, IL 60901
Phone: 815-933-1671    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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