Shaun Jeffrey Gonda, MD
Individual provider Active NPI Diagnostic Radiology Physician · Sheridan, WY
NPI 1881810596 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1881810596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 8052A (WY)
- Practice address
- 1401 W 5TH St
Sheridan, WY 82801-2705 - Phone
- (307) 672-1000
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Sheridan County
Big Horn Health Network
Family Medical Center
Practice addresses (Care Compare)
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000
1470 Sugarland Dr
Suite 1
Sheridan, WY 82801-5774
Phone (307) 673-2411
497 W Lott St
Buffalo, WY 82834-1658
Phone (307) 684-2228
Hospital & facility affiliations
- Sheridan Memorial Hospital
- Johnson County Healthcare Center
- Billings Clinic Hospital
- Campbell County Health
- Intermountain Health St Vincent Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 80.49
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 68.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090904000059 | WY | Practitioner - Diagnostic Radiology | 3476608910 | Reassigns benefits to 4 organizations |
| I20180411000852 | AZ | Practitioner - Diagnostic Radiology | 3476608910 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Sheridan County | Current |
Accepting new patients | |
| Johnson County Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current |
Accepting new patients | |
| Family Medical Center | Current |
Accepting new patients | |
| Big Horn Health Network | Current |
Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Sheridan Memorial Sameday Health & Imaging Urgent Care | Past |
Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
497 W Lott St
Buffalo, WY 82834
Phone (307) 684-2228
1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610
1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000
1470 Sugarland Dr
Ste 1
Sheridan, WY 82801
Phone (307) 673-2411
1333 W 5th St
Ste 100
Sheridan, WY 82801
Phone (307) 672-1000
Interoperability endpoints
- sgonda@sheridan.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 6451 | KS | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 8052A | WY | |
| Diagnostic Radiology Physician | 2085R0202X | 8052A | WY | Yes |
Addresses
Primary practice location
1401 W 5TH St
Sheridan, WY 82801-2705
Mailing address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1046
Other practice location 1
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 962-3030
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgonda@sheridan.cernerdirect.com | Direct |
Other providers in Sheridan, WY
- Angela L Glassock
- Global Life Virtual Stress & Lifestyle Wellness Services
- Luke Andrew Goddard
- Wendy Sue Goffena
- Gologo Inc
- Goose Creek Dental Clinic
- Goose Creek Family Practice, P.C.
- Goose Creek Pediatrics PC
- Lynn Euvoynne Gordon
- Nicole C Gore
All providers in Sheridan, WY · Diagnostic Radiology Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.