Individual provider Active NPI

Shubham Gupta, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Lexington, KY
National Provider Identifier
1578726477
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
47046 Issued in KY
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

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001958 OH Practitioner - Urology 9739307349 Reassigns benefits to 2 organizations

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
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

Hospital & facility affiliations

  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Prostate resection1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
709--LMSMDSurgery Physician
47046KYMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Surgery CurrentSince Dec 26, 2024 Accepting new patients
University Hospitals Medical Group Inc Surgery CurrentSince Nov 11, 2019 Accepting new patients
Multicare Health System PastSince Jan 17, 2021 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

  • Direct secure messaging: sgupta35877@ehrdirect.uhhospitals.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.