SAMIR K GUPTA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1407844517

SAMIR K GUPTA (M.D.) is a healthcare provider. based in Joliet, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 036094940 (IL). The NPI Number for SAMIR K GUPTA (M.D.) is 1407844517

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
SAMIR K GUPTA (M.D.)
NPI
1407844517
Phone
(815) 725-7222
Address
333 MADISON ST
Enumeration Date
12 October 2005
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8474375500
Graduation Year
1993 (33 years ago)
PAC ID
7416141577
Group Practice PAC ID
5496928558
Professional Enrollment ID
I20101102001204
Address ID
IL600073361EL800XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

766 PATHOLOGY in IL

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Provider Addresses for SAMIR K GUPTA (M.D.)

  • Presence Saint Joseph Medical Center, 333, Madison Street, Joliet, Will County, Illinois, 60435, United States

    JOLIET, IL 604358200

    Phone: (815) 725-7222

    Fax: (815) 725-7080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Medtronic, Inc. ($95).

Total Amount

$145

General + Research + Ownership

Payments

3

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101102001204IPathologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity340224$0
88341Special stained specimen slides to examine tissue, each additional procedure28974$0
88112Cell examination of specimen, selective cellular enhancement technique13079$0
88342Special stained specimen slides to examine tissue, initial procedure122105$0
88307Pathology examination of tissue using a microscope, moderately high complexity5343$0
View full utilization report →

Insurance plans in this area (ZIP 60435)

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Provider's Procedures

SAMIR K GUPTA (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88312Special stained specimen slides to identify organisms including interpretation and report5633

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496928558View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
-IL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

What federal number belongs to SAMIR K GUPTA (M.D.)?
The federal identifier for SAMIR K GUPTA (M.D.) is NPI 1407844517.
Is SAMIR K GUPTA (M.D.) active in the national directory?
SAMIR K GUPTA (M.D.)'s public NPI profile is in an active state.
Can you summarize SAMIR K GUPTA (M.D.)'s specialty in plain language?
Clinically, the directory lists SAMIR K GUPTA (M.D.) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does SAMIR K GUPTA (M.D.) practice in Illinois?
You will see Joliet, Illinois on file for SAMIR K GUPTA (M.D.) alongside any extra practice locations.
What if Joliet, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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