Dr Raj Gupta, MD in Hazel Crest, IL - Medicare Internal Medicine

Dr Raj Gupta, MD is a medicare enrolled "Internal Medicine" physician in Hazel Crest, Illinois. His current practice location is 17850 Kedzie Ave, Suite 3300, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 799-6055.

Dr Raj Gupta is licensed to practice in Illinois (license number 036047397) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275519399.

Contact Information

	Dr Raj Gupta, MD
	17850 Kedzie Ave, Suite 3300, Hazel Crest, IL 60429-2058
	(708) 799-6055
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Raj Gupta
Gender	Male
Speciality	Internal Medicine
Location	17850 Kedzie Ave, Hazel Crest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275519399
Provider Enumeration Date: 12/20/2005
Last Update Date: 03/24/2017

Medicare PECOS Information:

PECOS PAC ID: 0143317032
Enrollment ID: I20071024000265

Medical Identifiers

Medical identifiers for Dr Raj Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275519399	NPI	-	NPPES
036047397	Medicaid	IL
791291236	Other		RAILROAD MEDICARE PROVIDER #
110103119	Other		RAILROAD MEDICARE PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	036047397 (Illinois)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	036047397 (Illinois)	Secondary
207R00000X	Internal Medicine	036047397 (Illinois)	Primary

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. Dr Raj Gupta allows following entities to bill medicare on his behalf.

Entity Name	Sigma Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720035843 PECOS PAC ID: 2961305693 Enrollment ID: O20040130000006

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. Dr Raj 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
Dr Raj Gupta, MD 222 E Pearson St, Unit 2705, Chicago, IL 60611-7347 Ph: (708) 525-5008	Dr Raj Gupta, MD 17850 Kedzie Ave, Suite 3300, Hazel Crest, IL 60429-2058 Ph: (708) 799-6055

Reviews and Comments

Internal Medicine Doctors in Hazel Crest, IL

Dr. Shama R. Mehta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17850 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-957-4011
Dr. Kathleen Oshea-wilk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 1a, Hazel Crest, IL 60429 Phone: 708-799-1100 Fax: 708-799-8343
Dr. Agop Tepeli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17850 South Kedzie Avenue, Suite 3300, Hazel Crest, IL 60429 Phone: 708-799-6055
Dr. Rita Pamela Saldanha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429 Phone: 708-799-9500 Fax: 708-799-9555
Gladys Macagba, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 Fax: 708-747-6830
Syed Haider M Imam, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17850 Kedzie Ave Ste 3250, Hazel Crest, IL 60429 Phone: 708-799-8700
Motilal A. Bhatia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 17850 Kedzie Ave, 2100, Hazel Crest, IL 60429 Phone: 708-957-4010

Dr Raj Gupta, MD - Medicare Internal Medicine in Hazel Crest, IL