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NPISignal

Individual Healthcare Provider

Supriya Gupta, MD

NPI Record: ActiveRadiology — Diagnostic Radiology
NPI1548521883
Kankakee, Illinois

Provider's NPPES record last updated: August 31, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1548521883
Primary Specialty
Radiology — Diagnostic Radiology
Practice Location
Kankakee, Illinois
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 10:11 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    Primary

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X

Provider-Reported License Information

Radiology (Illinois)
036143198
Radiology (California)
A163071
Radiology (Tennessee)
77245
Radiology (Michigan)
4301501114
Radiology (Iowa)
MD-52771
Radiology (Delaware)
C1-0025655
Radiology (Florida)
ME140594
Radiology (Georgia)
111073
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

500 W Court St

Kankakee, Illinois 60901

Phone: (877) 737-4636

Additional Practice Location

3220 Discovery Dr Ste 100

Lansing, Michigan 48910-8609

Phone: (517) 975-8930

Fax: (517) 337-4985

Additional Practice Location

200 Hawkins Dr

Iowa City, Iowa 52242-1009

Phone: (319) 467-2868

Additional Practice Location

4755 Ogletown Stanton Rd

Newark, Delaware 19718-2200

Phone: (302) 733-1840

Fax: (302) 733-1633

Additional Practice Location

8201 E Riverside Blvd

Rockford, Illinois 61114-2300

Phone: (815) 971-7000

Fax: (815) 968-4795

Additional Practice Location

2201 Hempstead Tpke

General Surgery

East Meadow, New York 11554-1859

Phone: (857) 417-1440

Additional Practice Location

4660 S Hagadorn Rd Ste 410

East Lansing, Michigan 48823-6819

Phone: (517) 353-5053

Fax: (517) 884-6236

Additional Practice Location

4660 S Hagadorn Rd Ste 510

East Lansing, Michigan 48823-6805

Phone: (517) 353-5053

Fax: (517) 884-7460

Record Information

Enumeration Date
June 4, 2012
Provider's NPPES Record Last Updated
August 31, 2026
Certification Date
August 31, 2026
NPISignal NPPES Dataset
August 2026

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