DR. SHIVALI GUPTA DO, MPH
NPI 1023509502
Orthopaedic Surgery in San Jose, CA
About Dr. Shivali Gupta Do, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIVALI GUPTA DO, MPH (NPI 1023509502) is an individual orthopaedic surgery provider in San Jose, California, licensed in Washington (OP61408334) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shivali Gupta Do, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shivali Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: James Petros MD Inc
- 31 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95124
SAN JOSE, CA 95124
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shivali Gupta's NPI number?
The NPI number for Shivali Gupta is 1023509502. It was assigned to this individual provider in the NPPES registry on May 21, 2018.
Where is Shivali Gupta located?
Shivali Gupta practices at 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124. The listed phone number is (408) 528-8833.
What is Shivali Gupta's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Shivali Gupta enrolled in Medicare?
Yes. Shivali Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shivali Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivali Gupta reassigns Medicare benefits to 2 organizations: James Petros, M.D., Inc. (Los Gatos, CA) and The Association Of University Physicians (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shivali Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shivali Gupta was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shivali Gupta, DO, MPH · NPI 1023509502
Orthopaedic Surgery physician in San Jose, California. Individual provider, active in the CMS NPPES registry since May 21, 2018.
## Identity
- **NPI:** 1023509502 (Entity type: Individual)
- **Enumerated:** May 21, 2018
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** OP61408334 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1604 BLOSSOM HILL RD STE 10, San Jose, CA 95124-6350
- **Phone:** (408) 528-8833
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): James Petros, M.D., Inc. (NPI 1336448299, Los Gatos, CA); The Association Of University Physicians (NPI 1023041159, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2018
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023509502) · Data from the CMS NPPES public registry.