Manish Gupta (NPI# 1558399238, PAC ID# 9830156223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1558399238 |
| PAC ID by PECOS | 9830156223 |
| Professional Enrollment ID | I20150805007001 |
| Full Name | Manish Gupta |
| Organization Legal Name | RENALCARE ASSOCIATES, S.C. |
| Address |
420 Ne Glen Oak Ave Suite 401 Peoria IL 61603-3168 |
| Phone Number | 3096768123 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7012818347 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 140162 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 | 3096768123 | RENALCARE ASSOCIATES, S.C. |
| Organization Legal Name | RENALCARE ASSOCIATES, S.C. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudha Cherukuri | Nephrology | Renalcare Associates, S.c. | 719 Elliott St, Kewanee Hospital, Kewanee, IL 61443-2779 |
| Kumarpal C Shrishrimal | Nephrology | Renalcare Associates, S.c. | 1404 Eastland Dr, 103 Renalcare Associates Sc, Bloomington, IL 61701-7904 |
| Timothy A Pflederer | Nephrology | Renalcare Associates, S.c. | 430 Maxine Dr, Renal Intervention Center, Morton, IL 61550-2495 |
| Gordon W. James | Nephrology | Renalcare Associates, S.c. | 2355 Broadway, Renalcare Associates Sc, Pekin, IL 61554-3902 |
| Parthasarathy Srinivasan | Nephrology | Renalcare Associates, S.c. | 765 N Kellogg St, 203 Renalcare Associates Sc, Galesburg, IL 61401-2859 |
| Alexander J Alonso | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Robert Bruha | Nephrology | Renalcare Associates, S.c. | 1404 Eastland Dr, 103 Renalcare Associates Sc, Bloomington, IL 61701-7904 |
| Amit B Jamnadas | Nephrology | Renalcare Associates, S.c. | 1050 E Norris Dr, Suite 2c, Ottawa, IL 61350-1611 |
| Robert Theis Sparrow | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Tonya Moore | Nurse Practitioner | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Street Address |
420 NE GLEN OAK AVE SUITE 401 |
| City | PEORIA |
| State | IL |
| Zip | 61603-3168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander J Alonso | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Robert Theis Sparrow | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Tonya Moore | Nurse Practitioner | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Christopher Kenneth Johnson | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Jill C Oberle | Certified Clinical Nurse Specialist (cns) | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Raji Jacob | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Sarah R Adams | Nurse Practitioner | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| David E Houser | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Amanda Matthews | Nurse Practitioner | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Tonya K Mcdougall | Nurse Practitioner | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Cecilia A Albaro | Pediatric Medicine | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Timothy Whitzel Swain Iii | Thoracic Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Emmanuel A Amulraj | Thoracic Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Kristi N Ryan | Nurse Practitioner | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Mark D Plunkett | Cardiac Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Marc D Knepp | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Michael J Gootee | Otolaryngology | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Priti M Patel | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Anthony J Munaco | General Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Find all physicians in zip 61603 | |||
| City | PEORIA |
| Zip Code | 61603 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PEORIA + GENERAL SURGERY |
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| 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.