Individual provider Active NPI

Shamila Gopaul, CRNA

  • Certified Registered Nurse Anesthetist
  • Beverly, MA
National Provider Identifier
1104286285
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN2343495 Issued in MA
Practice address
85 Herrick St
Beverly, MA 01915-1790
Phone
(978) 816-3700
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 874854 TX
Certified Registered Nurse Anesthetist 367500000X APRN05248 RI
Certified Registered Nurse Anesthetist 367500000X RN2343495 MA Primary
Certified Registered Nurse Anesthetist 367500000X AP129995 TX

Addresses

Primary practice location

85 Herrick St
Beverly, MA 01915-1790

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
Phone (781) 744-8085

Other practice location 1

10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (917) 597-8578

Other practice location 2

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (850) 985-9180

Other practice location 3

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 577-4200

Other identifiers 2

IdentifierTypeStateIssuer
300070768MedicaidIN
264431071OtherINMEDICARE

Other names 1

  • Shamila Gopaul-Roy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgopaul@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, FL, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160413002227 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244538965 Reassigns benefits to 3 organizations
I20200706000893 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244538965 Reassigns benefits to 3 organizations
I20210421000791 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244538965 Reassigns benefits to 1 organization
I20230919004297 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244538965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, 430 clinicians
Beth Israel Lahey Health Specialty Care, Inc.Group PAC ID 2365405024, 264 clinicians

Practice addresses (Care Compare)

2101 N Oregon St
El Paso, TX 79902-3346
Phone (915) 577-7888

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2343495MAMDCertified Registered Nurse Anesthetist
874854TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. CurrentSince Aug 9, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Massachusetts Eye and Ear Associates, Inc. CurrentSince Sep 25, 2025 Accepting new patients
Capa Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2025 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2018 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Iu Anesthesiology Associates, LLC CurrentSince Apr 3, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2023 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2018 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jan 3, 2023 Accepting new patients
Cap Anesthesia, PC Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

5208 Reliable Pkwy
Chicago, IL 60686

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

103 W Stone Dr
Kingsport, TN 37660
Phone (423) 224-4050

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

2000 Transmountain Rd
Ste A
El Paso, TX 79911
Phone (915) 215-4956

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

Interoperability endpoints

  • Direct secure messaging: sgopaul@direct.iuhealth.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104286285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151790",
            "telephone_number": "978-816-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Gateway Blvd W",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257701",
            "country_code": "US",
            "telephone_number": "917-597-8578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "850-985-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-9503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAUL",
        "first_name": "SHAMILA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "874854",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN05248",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2343495",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP129995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300070768",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "264431071",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgopaul@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAMILA",
            "last_name": "GOPAUL-ROY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.