NPIMap

Individual provider Active NPI

Shalini Gupta, M.D.

  • Internal Medicine Physician
  • Marysville, CA
National Provider Identifier
1891783692
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82415 Issued in CA
Practice address
414 G St
Suite 240
Marysville, CA 95901-5663
Phone
(530) 741-2393
Fax
(530) 741-2396
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82415 CA Primary

Addresses

Primary practice location

414 G St
Suite 240
Marysville, CA 95901-5663

Mailing address

414 G St
Suite 240
Marysville, CA 95901-5663
Phone (530) 741-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608001032 CA Practitioner - Internal Medicine 8527040104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

414 G St
Suite 240
Marysville, CA 95901-5670
Phone (530) 741-2393

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Yuba City, CA, CCN 057448
  • Colusa Medical Center Home Health Home health agency, Colusa, CA, CCN 553155
  • Aspire Home Healthcare of Northern California, Inc Home health agency, Yuba City, CA, CCN 059707
  • Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
  • Freedom Home Health and Hospice Care Services, Inc Home health agency, Marysville, CA, CCN 059685
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82415CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 19, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 19, 2019 Accepting new patients
Ampla Health Past Accepting new patients
Ampla Health Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

414 G St
Ste 240
Marysville, CA 95901
Phone (530) 741-0957

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

900 Tharp Rd
Yuba City, CA 95993
Phone (530) 844-5655

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1891783692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 240",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-741-2393",
            "fax_number": "530-741-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 240",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-741-2393",
            "fax_number": "530-741-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHALINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.