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SHELLY GUPTA M.D.
NPI 1285075481
Hospitalist in Milwaukee, WI

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000(414) 649-5296 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Apr 23, 2024, Dec 10, 2020 (3 updates tracked since 2020).

About Shelly Gupta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY GUPTA M.D. (NPI 1285075481) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (65095) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285075481
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHELLY GUPTACredential: M.D.
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 649-6000
Fax(414) 649-5296
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 16, 2013
Last NPPES UpdateJanuary 28, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1285075481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 65095
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 65095-20 (WI)
2900 W OKLAHOMA AVE, Milwaukee, WI 53215
Open in Google Maps ↗

Other Identifiers 1

Medicaid100060733WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Shelly Gupta M.d. 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 ID1850687096
PECOS Enrollment IDI20160914001151
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
267 services96 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services81 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services47 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MUHAMMAD AKBAR MD LLC
Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 365-3210
DR. JEFFREY T LYVERS M.D.
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
RANA MOHAMMED AL RUBAYE MD
Hospitalist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
JESSICA MCDOWELL
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-5279
MARA STASIK PA-C
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Milwaukee County (414) 646-2550
SARAH J PARVE NP
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
DR. RILEY MARINELLI PT, DPT
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6011
ASHLEY MARIE ALTER PHARMD
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6930

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 Shelly Gupta's NPI number?

The NPI number for Shelly Gupta is 1285075481. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Shelly Gupta located?

Shelly Gupta practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Shelly Gupta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shelly Gupta enrolled in Medicare?

Yes. Shelly 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.

What insurance does Shelly Gupta accept?

Health plans from CareSource (Common Ground Healthcare) list Shelly Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelly Gupta affiliated with any hospitals?

According to CMS data, Shelly Gupta is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Shelly Gupta was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.