Active NPI
Shane Gupta, M.D.
- Diagnostic Radiology Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0068506
- 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
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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068506 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Radiology Medical Associates, Inc. | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Physicians Incorporated | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Current | 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
- 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.
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
CA
-
- Radiology Clinic/Center
- San Jose, CA
- NPI 1396703179
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
CA
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Radiology Clinic/Center
- Parker, CO
- NPI 1568124683
Diagnostic Radiology
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
- Diagnostic Radiology Physician
- Redlands, CA
- NPI 1710518535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.