Shivani Gupta, DO in Oak Lawn, IL - Medicare Physical Medicine & Rehabilitation

Shivani Gupta, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Oak Lawn, Illinois. Her current practice location is 4400 W 95th St Ste 306, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 684-5428.

Shivani Gupta is licensed to practice in Illinois (license number 036-161214) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467864389.

Contact Information

	Shivani Gupta, DO
	4400 W 95th St Ste 306, Oak Lawn, IL 60453-2659
	(708) 684-5428
	(708) 684-2079

Map and Direction

Physician's Profile

Full Name	Shivani Gupta
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	4400 W 95th St Ste 306, Oak Lawn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467864389
Provider Enumeration Date: 05/27/2014
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7416257118
Enrollment ID: I20230123001746

Medical Identifiers

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

Identifier	Type	State	Issuer
1467864389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P2900X	Physical Medicine & Rehabilitation - Pain Medicine	MD320466 (Louisiana)	Secondary
208100000X	Physical Medicine & Rehabilitation	036-161214 (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. Shivani Gupta allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Integrated Rehab Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20101203000704

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. Shivani 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
Shivani Gupta, DO 1111 Medical Center Blvd Ste S750, Marrero, LA 70072-3197 Ph: () -	Shivani Gupta, DO 4400 W 95th St Ste 306, Oak Lawn, IL 60453-2659 Ph: (708) 684-5428

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Oak Lawn, IL

Anterpreet Singh, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079
Don Mathew, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4431
Ami Parekh Hampole, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428
Shari S Ludwig, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Emg Lab, Room 042 South, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079
Mr. Ashraf Ali Elkossei, PHYSICAL THERAPIST Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9215 S Tripp Ave, Oak Lawn, IL 60453 Phone: 708-989-8989
Douglas Koltun, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079
Dr. Srecharan Shiva Gorukanti, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428

Shivani Gupta, DO - Medicare Physical Medicine & Rehabilitation in Oak Lawn, IL