DR. SHIVALI GUPTA DO, MPH
NPI 1023509502
Orthopaedic Surgery in San Jose, CA

Q: 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.

Q: What is Shivali Gupta's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: 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 2 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.

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment

1604 BLOSSOM HILL RD STE 10, SAN JOSE, CA 95124(408) 528-8833 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, May 21, 2018 (2 updates tracked since 2018).

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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

NPI1023509502

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameDR. SHIVALI GUPTACredential: DO, MPH

Location Address1604 BLOSSOM HILL RD STE 10San Jose, CA 95124-6350

Mailing Address1604 Blossom Hill Rd Ste 10San Jose, CA 95124-6350

Phone(408) 528-8833

Sole ProprietorYes

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2018

Enumeration DateMay 21, 2018

Last NPPES UpdateMay 26, 20262 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1023509502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WA · OP61408334✔ Licensed in CA · 20A24271

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 20A24271 (CA), OP61408334 (WA)

1604 BLOSSOM HILL RD STE 10, San Jose, CA 95124

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6103224035

PECOS Enrollment IDI20260409001979

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

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.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY FALLIN FNP-C

Nurse Practitioner