| Shefali Goel Gupta, MD | |
|
9746 N 90th Pl, Suite 205, Scottsdale, AZ 85258-5044 | |
| (480) 610-6100 | |
| (480) 464-0189 |
| Full Name | Shefali Goel Gupta |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 26 Years |
| Location | 9746 N 90th Pl, Scottsdale, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902927981 | NPI | - | NPPES |
| 031142 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 49843 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Desert Mountain Dialysis (dva) | Scottsdale, AZ | Dialysis facility |
| Papago Dialysis (dva) | Phoenix, AZ | Dialysis facility |
| Southwest Kidney Davita Dialysis Partners, Llc | Fountain hills, AZ | Dialysis facility |
| Scottsdale Osborn Medical Center | Scottsdale, AZ | Hospital |
| Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Super Specialists Llc | 1850695255 | 20 |
| Southwest Kidney Institute Plc | 8224930987 | 93 |
| Entity Name | Southwest Kidney Institute Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069 |
| Entity Name | Southwest Kidney Institute Scottsdale Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457 |
| Entity Name | Banner - University Super Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740650555 PECOS PAC ID: 1850695255 Enrollment ID: O20160204002443 |
| Mailing Address | Practice Location Address |
|---|---|
| Shefali Goel Gupta, MD 2149 E Warner Rd, Suite 102, Tempe, AZ 85284-3494 Ph: (480) 610-6100 | Shefali Goel Gupta, MD 9746 N 90th Pl, Suite 205, Scottsdale, AZ 85258-5044 Ph: (480) 610-6100 |
Dr. Debjit Saha, MBBS Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Morgan Taylor Reeve, DO Nephrology Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Dr. Andrew Edward Morrison, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 34597 N 60th St Ste 110, Scottsdale, AZ 85266 Phone: 480-488-8020 Fax: 480-264-6404 | |
Dr. Paul Joseph Schenk, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11230 E Beck Ln, Scottsdale, AZ 85255 Phone: 480-502-9457 | |
Dr. Musab Sultan Hommos, M.B., B.S. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Dr. Michael Edward Killian, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: Mayo Clinic 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 085-120-6856 | |
Hesham Mubarak Ibrahim Moh Abdalla, M.B.B.S. Nephrology Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |