Pooja Gupta (NPI# 1205044062, PAC ID# 1052592029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1205044062 |
| PAC ID by PECOS | 1052592029 |
| Professional Enrollment ID | I20110223001038 |
| Full Name | Pooja Gupta |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address |
221 Ne Glen Oak Peoria IL 61636 |
| Phone Number | 3096725522 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE |
| Group Practice PAC ID | 1355259714 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140120 | PEKIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 221 Ne Glen Oak, Peoria, IL 61636 | 3096725522 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 5401 N Knoxville Ave, Peoria, IL 61614-5021 | PROCTOR HEALTH SYSTEMS |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Physicians | 227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Hoffman | Nurse Practitioner | Methodist Medical Center of Illinois | 815 Main St A, Peoria, IL 61602-1080 |
| Alanna M Trettin | Physician Assistant | Methodist Medical Center of Illinois | 815 Main St, A, Peoria, IL 61602-1080 |
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Anne M Look | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Crescent Ave, Peoria, IL 61611-3257 |
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Robert B Adams | Family Practice | Methodist Medical Center of Illinois | 200 River Rd, East Peoria, IL 61611-2095 |
| Street Address |
221 NE GLEN OAK |
| City | PEORIA |
| State | IL |
| Zip | 61636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Alicia C Layton | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Mika Johnson | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anne Rene Webster | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Jessica Schlupp | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Aiyub Patel | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anota Nwejengoh Akofu | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Kishore M Karamchandani | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Praveen R Anegondhi Sudhindra | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Tammy Burtch | Clinical Social Worker | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Walker | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Dragica Durman | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Leah E Hulse | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Matthew Culp | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Kurt L Glesne | Podiatry | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Shriram Lokare | Rheumatology | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Emily L Barnewolt | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Vinoda Shanthappa | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Mohsina F Ahmed | Psychiatry | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Brian W Heywood | General Surgery | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Find all physicians in zip 61636 | |||
| City | PEORIA |
| Zip Code | 61636 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | PEORIA + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Pooja Gupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.