Individual provider Active NPI

Shabnam Gupta, MD

  • Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1326401696
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
67138 Issued in AZ
Practice address
702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639
Phone
(602) 358-8588
Fax
(602) 688-6991
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 67138 AZ Primary
Obstetrics & Gynecology Physician 207V00000X 67138 AZ

Addresses

Primary practice location

702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639

Mailing address

7330 N 16TH St Ste B101
Phoenix, AZ 85020-5274
Phone (678) 431-3434

Other practice location 1

1008 E McDowell Rd # A
Phoenix, AZ 85006-2603
Phone (602) 358-8588

Other practice location 2

2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone (602) 358-8588

Other practice location 3

10555 N Tatum Blvd Ste A101
Paradise Valley, AZ 85253-1096
Phone (602) 358-8588

Other practice location 4

1919 E McKellips Rd Ste 106
Mesa, AZ 85203-2855
Phone (602) 358-8588

Other practice location 5

1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (602) 358-8588

Other practice location 6

10585 N Tatum Blvd Ste D130
Paradise Valley, AZ 85253-1073
Phone (602) 358-8588

Other practice location 7

500 W Thomas Rd Ste 680
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Other identifiers 1

IdentifierTypeStateIssuer
155745MedicaidAZ

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL HIE Health Information Exchange (HIE)
Other URL HIE Health Information Exchange (HIE)
Other URL HIE Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025000559 AZ Practitioner - Obstetrics/Gynecology 0648675199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly H Roy MD PCGroup PAC ID 3476526724, 28 clinicians

Practice addresses (Care Compare)

1008 E McDowell Rd
Suite a
Phoenix, AZ 85006-2603
Phone (602) 358-8588

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67138AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly H. Roy, MD, PC Single Specialty CurrentSince Sep 30, 2022 Accepting new patients
Sjhmc Physician Services Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
St. Joseph'S Hospital and Medical Center Single Specialty CurrentSince Aug 30, 2020 Accepting new patients
WD Recovery and Wellness Center, LLC Single Specialty PastSince Dec 18, 2022 Accepting new patients

Locations

1151 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 469-3891

1919 E McKellips Rd
Ste 106
Mesa, AZ 85203
Phone (480) 833-0302

10555 N Tatum Blvd
Ste A101
Paradise Vly, AZ 85253
Phone (602) 358-5888

10585 N Tatum Blvd
Ste D130
Paradise Vly, AZ 85253
Phone (602) 559-9966

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

702 E Bell Rd
Ste 119
Phoenix, AZ 85022
Phone (600) 358-8588

7330 N 16th St
Ste B101
Phoenix, AZ 85020
Phone 60235885882004

1008 E McDowell Rd
#A
Phoenix, AZ 85006

1008 E McDowell Rd
Ste A
Phoenix, AZ 85006
Phone (602) 241-1944

2222 E Highland Ave
Ste 205
Phoenix, AZ 85016
Phone (600) 235-8588

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3105 Clearwater Dr
Prescott, AZ 86305
Phone (928) 776-4349

9201 E Mountain View Rd
Ste 210
Scottsdale, AZ 85258

10210 N 92nd St
Ste 201
Scottsdale, AZ 85258
Phone (480) 291-6600

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: shabnam.gupta.1@2541.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1326401696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST STE B101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205274",
            "telephone_number": "678-431-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BELL RD STE 119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 E McDowell Rd # A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062603",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164876",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "address_purpose": "LOCATION",
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            "postal_code": "852531096",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 E McKellips Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032855",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10585 N Tatum Blvd Ste D130",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531073",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Thomas Rd Ste 680",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134235",
            "country_code": "US",
            "telephone_number": "602-406-6017",
            "fax_number": "602-406-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHABNAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "67138",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "67138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155745",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1008 E McDowell Rd # A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1008 E McDowell Rd # A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "1008 E McDowell Rd # A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.