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Active NPI 1467015941 Individual Practitioner Male Practitioner

Sushane Gupta

Emergency Medicine • Hazel Crest, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sushane Gupta is a certified Emergency Medicine practicing in Hazel Crest, IL. With approximately 7 years of clinical experience since graduating from Albany Medical College Of Union University in 2019, Sushane Gupta delivers high-quality medical care to the local community at 17800 KEDZIE AVE.

Sushane Gupta maintains professional affiliations with Riverside Emergency Physicians Llc, Cepamerica Illinois Llp, Aurora Emergency Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17800 Kedzie Ave

Hazel Crest, IL 604292029

Telephone 7082134200
Fax 7082130144
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Hazel Crest, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -5.4 yrs vs City Avg
City Avg: 12.4 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Hazel Crest, IL (3389 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (7 Years) 7 Yrs
Hazel Crest Specialty Average (12.4 Years) 12.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
428 424 $1250.09 $179.64
99284 Emergency department visit with moderate level of medical decision making
160 155 $870.59 $124.98
99291 Critical care, first 30-74 minutes
112 109 $1619.73 $214.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
72 69 $55.65 $7.93
99292 Critical care, each additional 30 minutes
17 16 $902.18 $109.75

Medical Specialties & State Licenses

CMS Verified: 2023-07-03
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036159430

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
036-159430 (IL)

Hospital & Practice Group Affiliations

Aurora Emergency Physicians Llc

2000 Ogden Ave, Aurora, IL 605047222

Phone: 6309786200

Riverside Emergency Physicians Llc

350 N Wall St, Kankakee, IL 609012901

Phone: 8159331671

Cepamerica Illinois Llp

5666 E State St, Rockford, IL 611082425

Phone: 8152262000

Secondary Practice Locations

6071 W Outer Dr

Detroit, MI 482352624

Phone: 3139663329

2320 E 93rd St

Chicago, IL 606173909

Phone: 7739675430

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Ginger Clinton , MD

Emergency Medicine

NPI 1003220336

Doctor of Medicine (M.D.)

Kyriaki Keenan , PA-C

Physician Assistant

NPI 1043932403

Physician Assistant (Certified)

Dr. Lindy Triebes , MD

Emergency Medicine

NPI 1053725374

Doctor of Medicine (M.D.)

NPI 1053898130

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Kevin Tom , DO

Emergency Medicine

NPI 1053990895

Doctor of Osteopathic Medicine (D.O.)

Dr. Veronica Robinson , MD

Emergency Medicine

NPI 1063407542

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 03, 2023

Registered at 17800 KEDZIE AVE, HAZEL CREST, IL 604292029 (Tel: 7082134200)

📍
Updated Business Mailing Address July 03, 2023

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2023

Emergency Medicine (License #036159430 in IL)

NPI Profile Active April 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2019

Registered at 6071 W OUTER DR, DETROIT, MI 482352624 (Tel: 3139663329)

📍
Updated Business Mailing Address April 23, 2019

Registered at 4201 SAINT ANTOINE ST OFC, DETROIT, MI 482012153 (Tel: 3139661020)

👤
Provider Name / Credentials Updated April 23, 2019

Recorded as SUSHANE GUPTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467015941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2019
Last Update: July 03, 2023
Sole Proprietor: Yes

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.