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NPISignal

Individual Healthcare Provider

Anil Gupta, MD

NPI Record: ActiveFamily Medicine
NPI1912961558
Columbia, Illinois

Provider's NPPES record last updated: April 2, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1912961558
Primary Specialty
Family Medicine
Practice Location
Columbia, 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, 7:33 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

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Internal Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

    Taxonomy code 207RA0401X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Family Medicine (Illinois)
036086275
Emergency Medicine (Missouri)
104738
Emergency Medicine (Illinois)
036086275
Family Medicine (Missouri)
104738
Family Medicine (Indiana)
01070862A
Emergency Medicine (Indiana)
01070862A
Internal Medicine (Missouri)
104738
Internal Medicine (Illinois)
036086275
General Practice (Illinois)
036086275
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

421 South Main Street

Columbia, Illinois 62236

Phone: (618) 281-7151

Additional Practice Location

8793 Watson Rd

Saint Louis, Missouri 63119-5111

Phone: (618) 281-7151

Fax: (618) 281-6680

Record Information

Enumeration Date
April 12, 2006
Provider's NPPES Record Last Updated
April 2, 2025
Certification Date
April 2, 2025
NPISignal NPPES Dataset
August 2026

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