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Deactivated NPI 1275519399 Deactivated / Inactive NPI Male Practitioner

Dr. Raj Gupta , MD

Internal Medicine • Hazel Crest, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raj Gupta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2005
NPI Deactivation Date August 14, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Raj Gupta, MD was a registered Internal Medicine practicing in Hazel Crest, IL. Throughout an active medical career spanning 20 years, Dr. Gupta provided care at the practice location at 17850 SOUTH KEDZIE AVENUE until profile deactivation on 2025-08-14.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, sleep monitoring of patient (6 years or older) in sleep lab. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

17850 South Kedzie Avenue
Suite 3300

Hazel Crest, IL 60429

Telephone 7087996055
Fax 7087999931
Associated Practice Facility / Clinic
🏢 Gupta Mdsc Facility NPI 1962523720

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hazel Crest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Hazel Crest, IL (7544 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 33 $150.00 $114.86
99213 Established patient office or other outpatient visit, typically 15 minutes
37 31 $100.00 $78.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $225.00 $175.41
95810 Sleep monitoring of patient (6 years or older) in sleep lab
12 12 $2370.00 $643.93

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036047397

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Agop Tepeli , MD

Internal Medicine - Pulmonary Disease

NPI 1053397513

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated August 14, 2025

Record deactivated on August 14, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2025

Internal Medicine (License #036047397 in IL)

NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2017

Registered at 17850 KEDZIE AVE, SUITE 3300, HAZEL CREST, IL 604292058 (Tel: 7087996055)

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Updated Business Mailing Address March 24, 2017

Registered at 222 E PEARSON ST, UNIT 2705, CHICAGO, IL 606117347 (Tel: 7085255008)

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Provider Name / Credentials Updated March 24, 2017

Recorded as RAJ GUPTA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Internal Medicine (License #036047397 in IL)

NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 07, 2016

Registered at 17850 SOUTH KEDZIE AVENUE, SUITE 3300, HAZEL CREST, IL 60429 (Tel: 7087996055)

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Updated Business Mailing Address June 07, 2016

Registered at 17850 SOUTH KEDZIE AVENUE, SUITE 3300, HAZEL CREST, IL 60429 (Tel: 7087996055)

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Provider Name / Credentials Updated June 07, 2016

Recorded as RAJ GUPTA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Internal Medicine (License #036047397 in IL)

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Initial NPI Registration & Enumeration December 20, 2005

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: 1275519399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2005
Last Update: June 07, 2016
Deactivation Date: August 14, 2025

Mailing Address

17850 South Kedzie Avenue, Suite 3300

Hazel Crest, IL 60429

Phone: 7087996055

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.