Robert Shupak, M.D.
Individual provider Active NPI Anesthesiology Physician · Springerville, AZ
NPI 1619974110 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1619974110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 18763 (AZ)
- Practice address
- 118 S Mountain Ave
Springerville, AZ 85938-5104 - Phone
- (602) 273-6770
- Fax
- (602) 889-0489
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Past | Accepting new patients | |
| Alchemy Anesthesia LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18763 | AZ | Yes |
Addresses
Primary practice location
118 S Mountain Ave
Springerville, AZ 85938-5104
Mailing address
PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770
Other providers in Springerville, AZ
- North Country Healthcare, Inc.
- Devin Pinckard
- Heidi Ponce
- Hal Richins Jr.
- Rocky Mountain Holdings LLC
- Tanette Stites
- Sunrise Anesthesia & Pain Management, PLLC
- Sunrise Anesthesia & Pain Management, PLLC
- Sunrise Anesthesia & Pain Management, PLLC
- Alena Thompson
All providers in Springerville, AZ · Anesthesiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.