Sushan Gupta, - Medicare Internal Medicine in Urbana, IL

Sushan Gupta, is a medicare enrolled "Internal Medicine" physician in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3110.

Sushan Gupta is licensed to practice in Illinois (license number 125.077875) 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 1043808736.

Contact Information

Sushan Gupta,
611 W Park St,
Urbana, IL 61801-2529
(217) 383-3110
Not Available



Physician's Profile

Full NameSushan Gupta
GenderMale
SpecialityInternal Medicine
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043808736
  • Provider Enumeration Date: 01/07/2021
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547663213
  • Enrollment ID: I20210720000615

Medical Identifiers

Medical identifiers for Sushan Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043808736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 83353-20 (Wisconsin)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 83353-20 (Wisconsin)Secondary
207R00000XInternal Medicine 125.077875 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Sushan 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
Sushan Gupta,
8701 Watertown Plank Rd Fl 8,
Milwaukee, WI 53226-3548

Ph: () -
Sushan Gupta,
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 383-3110

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Internal Medicine Doctors in Urbana, IL

Joselyn Joseph, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park St., Hospitalist, Urbana, IL 61801
Phone: 217-383-3129    Fax: 217-326-1550
Dr. Uday Bhaskar Kanakadandi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Hvi, Urbana, IL 61801
Phone: 217-383-3110    
Dr. Nelson Onyekachukwu Okobia,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-549-6585    
Robert W. Kirby, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 602 W University Ave, Urbana, IL 61801
Phone: 217-383-3311    
Pardeep Kumar Thourani, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Carle Forum, Ll, Urbana, IL 61801
Phone: 217-383-3110    
Benjamin J Rhee, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park St., Cardiology, Urbana, IL 61801
Phone: 217-904-7000    Fax: 217-904-7742
Mr. Mobeen Zaka Haider, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W. Park St. Carle Foundation Hospital, Urbana, IL 61801
Phone: 217-383-3310    

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