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DR. SHUBHAM GUPTA M.D.
NPI 1578726477
Urology - Urogynecology and Reconstructive Pelvic Surgery in Lexington, KY

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
800 ROSE ST, MS235, LEXINGTON, KY 40536(859) 218-5771(859) 323-1944 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shubham Gupta M.d. NPPES

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

DR. SHUBHAM GUPTA M.D. (NPI 1578726477) is an individual urogynecology and reconstructive pelvic surgery provider in Lexington, Kentucky, licensed in Kentucky (47046) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Samaritan Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1578726477
Entity TypeIndividualMale
Primary Taxonomy2088F0040X
Provider Legal NameDR. SHUBHAM GUPTACredential: M.D.
Location Address800 ROSE ST, MS235Lexington, KY 40536-0001
Mailing Address11100 Euclid Ave Ste 4554Cleveland, OH 44106-1716 · (216) 285-5036 · Fax (859) 323-1944
Phone(859) 218-5771
Fax(859) 323-1944
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 10, 2008
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1578726477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License✔ Licensed in KY · 47046
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedSurgeryTaxonomy 208600000X · License 709--L (MS)
Also ListedUrologyTaxonomy 208800000X · License 47046 (KY), 35.136851 (OH)
800 ROSE ST, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Shubham 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 ID9739307349
PECOS Enrollment IDI20200117001958
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 4

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services28 patients
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.
32 services24 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
29 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

University Hospitals Samaritan Medical Center

Acute Care Hospitals · Ashland, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360002
Location1025 Center StAshland, OH 44805 · Ashland County

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,820 services$1.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JEREMY WAYNE THACKER M.D.
Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Fayette County (859) 257-4457
DR. KIRK PHILLIP HEITMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Fayette County (859) 257-1446
HARISH RAM MD
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MS. YVONNE P RICE APRN NP-C
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1779
VANESSA D. SMITH MD
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6183
JASMINE HOWARD APRN
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
MITCHELL ALEXANDER MIGUEL M.D.
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6047
LEAH RAY YEAGER APRN
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536
Fayette County (859) 257-1223

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 Shubham Gupta's NPI number?

The NPI number for Shubham Gupta is 1578726477. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Shubham Gupta located?

Shubham Gupta practices at 800 Rose St Ms235, Lexington, KY 40536. The listed phone number is (859) 218-5771.

What is Shubham Gupta's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Shubham Gupta enrolled in Medicare?

Yes. Shubham 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 Shubham Gupta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Shubham 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 Shubham Gupta affiliated with any hospitals?

According to CMS data, Shubham Gupta is affiliated with University Hospitals Samaritan Medical Center, Parma Community General Hospital and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Shubham Gupta was last updated on January 21, 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.