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

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



Physician's Profile

Full NameDr Raj Gupta
GenderMale
SpecialityInternal Medicine
Location17850 Kedzie Ave, Hazel Crest, Illinois
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1275519399NPI-NPPES
036047397MedicaidIL
791291236OtherRAILROAD MEDICARE PROVIDER #
110103119OtherRAILROAD MEDICARE PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 036047397 (Illinois)Secondary
207RS0012XInternal Medicine - Sleep Medicine 036047397 (Illinois)Secondary
207R00000XInternal 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 NameSigma Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720035843
PECOS PAC ID: 2961305693
Enrollment ID: O20040130000006

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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 AddressPractice 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

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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
Motilal A. Bhatia, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 17850 Kedzie Ave, 2100, Hazel Crest, IL 60429
Phone: 708-957-4010    
Krishna Sunkara, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17680 Kedzie Ave, 101, Hazel Crest, IL 60429
Phone: 708-799-7990    Fax: 708-799-4093

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