Suraj Amar Gupta, MD in Park Ridge, IL - Medicare Diagnostic Radiology

Suraj Amar Gupta, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Park Ridge, Illinois. He went to Northwestern University Feinberg Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Integrated Imaging Consultants Llc and his current practice location is 1775 Dempster St, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 723-5020.

Suraj Amar Gupta is licensed to practice in Illinois (license number 000000000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225393804.

Contact Information

	Suraj Amar Gupta, MD
	1775 Dempster St, Park Ridge, IL 60068-1143
	(847) 723-5020
	Not Available

Map and Direction

Physician's Profile

Full Name	Suraj Amar Gupta
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	1775 Dempster St, Park Ridge, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Suraj Amar Gupta attended and graduated from Northwestern University Feinberg Medical School in 2012

NPI Data:

NPI Number: 1225393804
Provider Enumeration Date: 07/10/2012
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 8325397383
Enrollment ID: I20180823003376

Medical Identifiers

Medical identifiers for Suraj Amar Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225393804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	125.061269 (Illinois)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	000000000 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Lutheran General Hospital	Park ridge, IL	Hospital
Advocate Illinois Masonic Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Imaging Consultants Llc	2567784408	166

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. Suraj Amar Gupta allows following entities to bill medicare on his behalf.

Entity Name	Integrated Imaging Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441

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. Suraj Amar 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 Address	Practice Location Address
Suraj Amar Gupta, MD 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068-1343 Ph: (804) 803-1000	Suraj Amar Gupta, MD 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-5020

Reviews and Comments

Radiology Doctors in Park Ridge, IL

Michael S. Siegfried, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000
Dr. Tanya M Powell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln, Park Ridge, IL 60068 Phone: 630-205-6612 Fax: 847-698-0601
John V. Phillips, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000
Thomas Grobelny, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876
Samuel Thomas Rajkowski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098
Anil Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St Dept Of, Park Ridge, IL 60068 Phone: 847-723-8236 Fax: 847-723-8522
Dr. Mara B Stephenson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098

Suraj Amar Gupta, MD - Medicare Diagnostic Radiology in Park Ridge, IL