DR. RENU GUPTA (M.D.) – Psychiatry Physician, NPI 1609908383

DR. RENU GUPTA (M.D.) is a healthcare provider. based in Woodridge, Illinois. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 036-084024 (IL). The NPI Number for DR. RENU GUPTA (M.D.) is 1609908383

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENU GUPTA (M.D.)
NPI
1609908383
Phone
(630) 910-0683
Address
1221 LONGFORD ST
Enumeration Date
9 March 2007
Last Update Date
25 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188338551
Graduation Year
1980 (46 years ago)
PAC ID
0244424141
Group Practice PAC ID
4688656523
Professional Enrollment ID
I20101104001076
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. RENU GUPTA (M.D.)

  • 1221 LONGFORD ST

    WOODRIDGE, IL 605177748

    Phone: (630) 910-0683

    Fax: (630) 910-0685

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-04

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
I20101104001076IPsychiatryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60517)

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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: 4688656523View full group profile

Reviews

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Frequently asked questions

Does DR. RENU GUPTA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RENU GUPTA (M.D.) uses 1609908383.
Does the file indicate DR. RENU GUPTA (M.D.) is practicing under active NPI?
Directory data currently reports DR. RENU GUPTA (M.D.) as active.
What is DR. RENU GUPTA (M.D.)'s primary classification?
Psychiatry Physician is the headline specialty for DR. RENU GUPTA (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. RENU GUPTA (M.D.) serve?
DR. RENU GUPTA (M.D.)'s listing highlights Woodridge, Illinois; more addresses can appear in NPPES.
Is the information about DR. RENU GUPTA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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