Active NPI
Shubham Gupta, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- License
- 47046
- Practice address
- 800 Rose St
Ms235
Lexington, KY 40536-0001 - Phone
- (859) 218-5771
- Fax
- (859) 323-1944
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 709--L | MS | |
| Urology Physician | 208800000X | 47046 | KY | |
| Urology Physician | 208800000X | 35.136851 | OH | |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | 47046 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Ms235
Lexington, KY 40536-0001
Mailing address
11100 Euclid Ave Ste 4554
Cleveland, OH 44106-1716
Phone (216) 285-5036
Other practice location 1
272 Hospital Rd Ste 260
Chillicothe, OH 45601-9031
Phone (740) 779-4370
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shubhamgupta@uhps.allscriptsdirect.net | ||
| Direct Messaging Address | adena.urology@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Hospital & facility affiliations
- Parma Community General Hospital
- Uh Cleveland Medical Center
- University Hospitals Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 709--L | MS | MD | Surgery Physician |
| 47046 | KY | MD | Female Pelvic Medicine and Reconstructive Surgery (Urology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Surgery | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Surgery | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients | |
| Samaritan Professional Corporation | Past | Accepting new patients | |
| Parma Community General Hospital Association | Past | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
2212 Mifflin Ave
Ste 230
Ashland, OH 44805
Phone (419) 289-6000
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
272 Hospital Rd
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
11100 Euclid Ave
Ste 4554
Cleveland, OH 44106
Phone (216) 844-3009
11100 Euclid Ave
Cleveland Heights, OH 44106
29001 Cedar Rd
Ste 202
Lyndhurst, OH 44124
Phone (440) 461-7999
9511 W Pleasant Valley Rd
Parma, OH 44130
Phone (216) 286-1728
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Interoperability endpoints
- sgupta35877@ehrdirect.uhhospitals.org
- sgupta1521797@direct.osumc.edu
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Surgery
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
-
- Gastroenterology Physician
- Ashland, OH
- NPI 1811948862
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
-
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1578726477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE STE 4554",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-285-5036",
"fax_number": "859-323-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "MS235",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-218-5771",
"fax_number": "859-323-1944"
}
],
"practiceLocations": [
{
"address_1": "272 Hospital Rd Ste 260",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "740-779-4370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "SHUBHAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "709--L",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "47046",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.136851",
"primary": false
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "KY",
"license": "47046",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shubhamgupta@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "11100 Euclid Ave Ste 4554",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441061716",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.urology@adena.medicity.net",
"affiliation": "N",
"address_1": "272 Hospital Rd Ste 260",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456019031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.