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Dr. Pavan Kumar Gupta, MD

Cardiovascular Disease Physician in O Fallon, IL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861519563

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Registry record

Entity type Individual (Type 1)
Name Dr. Pavan Kumar Gupta
Credential MD
Sex Male
Practice address Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL, 62269
Phone (618) 233-6044
Fax (833) 973-4218
Enumeration date Mar 26, 2007
Last updated in NPPES Dec 21, 2021

Taxonomy & licenses

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 4301083827 (MI) Secondary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care · License 4301083827 (MI) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD13290 (RI) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 4301083827 (MI) Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 036130576 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
036130576 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Pavan Gupta?
Pavan Gupta is registered in NPPES with the primary taxonomy of Cardiovascular Disease Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-21.