| Supriya Gupta, MD | |
|
500 W Court St, Kankakee, IL 60901 | |
| (877) 737-4636 | |
| Not Available |
| Full Name | Supriya Gupta |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 500 W Court St, Kankakee, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548521883 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Presence St Marys Hospital | Kankakee, IL | Hospital |
| Presence Saint Francis Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Texas Radiological Associates Pa | 4385740141 | 59 |
| Dickinson County Healthcare System | 6800784943 | 101 |
| Florida Hospital Medical Group Inc | 0042383200 | 329 |
| Bayhealth Radiologists Llc | 0446601876 | 94 |
| Florida Radiology Imaging At Lake Mary Llc | 1254311137 | 280 |
| Radiology Associates Of Albuquerque Pa | 2860304482 | 103 |
| Advanced Radiology Services Pc | 4284546516 | 250 |
| Illinois Diagnostic And Interventional Radiology Pllc | 5092215889 | 112 |
| Pco Pc | 5395179329 | 81 |
| Cira Michigan Pc | 7113355264 | 88 |
| Radpod Fl Pllc | 9133624745 | 25 |
| Central Illinois Radiological Associates Ltd | 9436061827 | 200 |
| Christiana Care Health Services Inc | 9739097569 | 1533 |
| Carilion Medical Center | 9830096585 | 969 |
| Humboldt Park Health | 8921907072 | 99 |
| La Paz Regional Hospital Inc | 1557273356 | 49 |
| Edward W Sparrow Hospital Association | 6709799166 | 696 |
| Partners Imaging Center Of Sarasota Llc | 0042217861 | 13 |
| Memorial Mri And Diagnostic Llc | 6507859568 | 75 |
| Florida Radiology Imaging At Lake Mary Llc | 1254311137 | 280 |
| Interfaith Professional Physician Services Pc | 9931378171 | 389 |
| Nor-lea Hospital District | 2466364534 | 54 |
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1312 |
| On-line Radiology Medical Group Inc | 0648311548 | 68 |
| Northwestern Medical Faculty Foundation | 4587576814 | 4367 |
| Msu Health Care Inc. | 8628404936 | 207 |
| Christiana Care Health Services Inc | 9739097569 | 1533 |
| Central Valley Community Medical Imaging | 5799679874 | 101 |
| Dhhs,phs,naihs, Gallup Indian Medical Center | 3173436409 | 186 |
| Dhhs Phs Naihs Shiprock Hospital | 0749193837 | 151 |
| Lubbock County Hospital District | 4385538941 | 96 |
| Central Texas Radiological Associates Pa | 4385740141 | 59 |
| Hospital And Medical Foundation Of Paris Inc | 7315933827 | 121 |
| Rockford Health Physicians | 2567374036 | 518 |
| Thorek Radiology Group Nfp | 1658786421 | 41 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| Mercy Health System Corporation | 7416860440 | 757 |
| Grays Harbor Community Hospital | 3577462365 | 97 |
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 169 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Humboldt Park Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Hospital & Medical Foundation Of Paris, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629280367 PECOS PAC ID: 7315933827 Enrollment ID: O20040421001005 |
| Entity Name | Decatur Radiology Physicians Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640977 PECOS PAC ID: 1658353974 Enrollment ID: O20040602000158 |
| Entity Name | Bloomington Radiology S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700831773 PECOS PAC ID: 5092797621 Enrollment ID: O20040607000336 |
| Entity Name | Elk Grove Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386730810 PECOS PAC ID: 9133169766 Enrollment ID: O20050503001144 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20080814000765 |
| Entity Name | State University Of Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20091221000403 |
| Entity Name | On-line Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710158498 PECOS PAC ID: 0648311548 Enrollment ID: O20110203001113 |
| Entity Name | East Central Illinois Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912277443 PECOS PAC ID: 3870750482 Enrollment ID: O20120209000712 |
| Entity Name | Advanced Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20181107003598 |
| Entity Name | Resilience Healthcare - Lakefront Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205301926 PECOS PAC ID: 5991046468 Enrollment ID: O20190410000827 |
| Entity Name | Radiology Associates Of Albuquerque Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20190926001806 |
| Entity Name | Pco Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881230563 PECOS PAC ID: 5395179329 Enrollment ID: O20191230001440 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20200325000260 |
| Entity Name | Central Valley Community Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376637264 PECOS PAC ID: 5799679874 Enrollment ID: O20200504001512 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200511000214 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20200605001164 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Entity Name | Lansing Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425658 PECOS PAC ID: 4486552148 Enrollment ID: O20201214001163 |
| Entity Name | Thorek Radiology Group Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588261978 PECOS PAC ID: 1658786421 Enrollment ID: O20210209002525 |
| Entity Name | Florida Radiology Imaging At Lake Mary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20211124000938 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20220420000969 |
| Entity Name | Sol Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457928111 PECOS PAC ID: 1850796681 Enrollment ID: O20220517001509 |
| Entity Name | Kent Diagnostic Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417044298 PECOS PAC ID: 3971591371 Enrollment ID: O20230104002284 |
| Entity Name | Riverside Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699776526 PECOS PAC ID: 2365412327 Enrollment ID: O20230524002178 |
| Entity Name | Diagnostic Outpatient Imaging Partnership Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326082603 PECOS PAC ID: 5698729044 Enrollment ID: O20230831003477 |
| Entity Name | Progressive Physician Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20240112000127 |
| Entity Name | Radiology Associates Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491906 PECOS PAC ID: 3779932959 Enrollment ID: O20240112003323 |
| Entity Name | Bayhealth Radiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366214124 PECOS PAC ID: 0446601876 Enrollment ID: O20240123004560 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20240513003290 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20240515001365 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20240515003930 |
| Entity Name | Carilion Tazewell Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20240617001817 |
| Entity Name | Dickinson County Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20240812004014 |
| Entity Name | Christiana Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952335556 PECOS PAC ID: 9739097569 Enrollment ID: O20241101000053 |
| Entity Name | Halo Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467506451 PECOS PAC ID: 7012806052 Enrollment ID: O20241224000775 |
| Entity Name | Central Texas Radiological Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861452864 PECOS PAC ID: 4385740141 Enrollment ID: O20250327002241 |
| Mailing Address | Practice 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 |
Dr. Howard I Roth, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Ruiz De Luzuriaga, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7525 | |
Stephen Supple, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Ryan J Meiners, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Tyler Hall Cornelius, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Jeffery P Mendell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 |