DR. BALAJI GUPTA (MD) – Ophthalmology Physician, NPI 1992767818

DR. BALAJI GUPTA (MD) is a healthcare provider. based in Lombard, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 36-081843 (IL). The NPI Number for DR. BALAJI GUPTA (MD) is 1992767818

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. BALAJI GUPTA (MD)
NPI
1992767818
Phone
(630) 495-2220
Address
2500 S HIGHLAND AVE
Enumeration Date
5 April 2006
Last Update Date
12 May 2010

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6304952220
Graduation Year
1988 (38 years ago)
PAC ID
8022006196
Group Practice PAC ID
0345251484
Professional Enrollment ID
I20040506000160
Address ID
IL601485381LO2500XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

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Provider Addresses for DR. BALAJI GUPTA (MD)

  • 2500, South Highland Avenue, Lombard, DuPage County, Illinois, 60148, United States

    SUITE 110

    LOMBARD, IL 601485363

    Phone: (630) 495-2220

    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 34 Open Payments records for all available years, with a total value of $1,252.

Total Amount is formed as General ($1,252) + Research ($0) + Ownership ($0) = $1,252.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Alcon Vision LLC ($332).

Total Amount

$1,252

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2004-05-06

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
I20040506000160IOphthalmologyILTBD

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
92014Established patient complete exam of visual system980909$0
92012Established patient problem focused exam of visual system419314$0
92134Imaging of retina291272$0
92250Photography of the retina216212$0
92136Measurement of corneal curvature and depth of eye191125$0
View full utilization report →

Insurance plans in this area (ZIP 60148)

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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: 0345251484View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Is DR. BALAJI GUPTA (MD) listed with a National Provider Identifier?
Yes — DR. BALAJI GUPTA (MD) has NPI 1992767818 on file in the registry.
Is DR. BALAJI GUPTA (MD) shown as active in public data?
Registry records indicate DR. BALAJI GUPTA (MD) maintains an active NPI.
How would a patient describe DR. BALAJI GUPTA (MD)'s focus?
For DR. BALAJI GUPTA (MD), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BALAJI GUPTA (MD) associated with Lombard?
Public fields place DR. BALAJI GUPTA (MD) around Lombard, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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