Individual provider Active NPI

Shane Gupta, M.D.

  • Diagnostic Radiology Physician
  • Aurora, CO
National Provider Identifier
1669906947
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0068506 Issued in CO
Practice address
13001 E 17TH PL
Aurora, CO 80045-2570
Phone
(303) 724-2680
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X DR.0068506 CO
Vascular & Interventional Radiology Physician 2085R0204X DR.0068506 CO
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X DR.0068506 CO Primary

Addresses

Primary practice location

13001 E 17TH PL
Aurora, CO 80045-2570

Mailing address

13001 E 17TH PL
Aurora, CO 80045-2570
Phone (303) 724-2680

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220713001332 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 6608144266 Reassigns benefits to 1 organization
I20250730002645 CA Practitioner - Diagnostic Radiology 6608144266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
201 Simonmed Imaging San Mateo
San Mateo, CA 94401-3843
Phone (650) 343-1655

225 W Hospitality LN
San Bernardino, CA 92408-3244
Phone (909) 890-5856

2581 Samaritan Dr
Suite 100
San Jose, CA 95124-4112
Phone (408) 358-6881

325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674

455 Hickey Blvd
Suite 200
Daly City, CA 94015-2630
Phone (650) 757-2030

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068506COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 16, 2022 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 16, 2022 Accepting new patients
University Physicians Incorporated Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients

Locations

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

2581 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 358-6881

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

Dept 1061
Denver, CO 80256

777 Bannock St
Denver, CO 80204

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

1500 Park Central Dr
Ste 202
Highlands Ranch, CO 80129
Phone (720) 516-2100

1500 Park Central Dr
Ste 203
Highlands Ranch, CO 80129
Phone (720) 516-2100

Interoperability endpoints

  • Direct secure messaging: sknipping111191@direct.dhha.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1669906947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570",
            "telephone_number": "303-724-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570",
            "telephone_number": "303-724-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CO",
            "license": "DR.0068506",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0068506",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0068506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.