SHYAM K GUPTA MD
NPI 1205818598
Psychiatry & Neurology - Psychiatry in Seattle, WA
NPI Status: Active since November 14, 2005
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SHYAM GUPTA
This page provides the complete NPI Profile along with additional information for Shyam Gupta, a provider established in Seattle, Washington with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1205818598 assigned on November 2005. The practitioner's primary taxonomy code is 2084P0800X with license number 60107172 (WA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1205818598
- Provider Name
- SHYAM K GUPTA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 904 7TH AVE SEATTLE, WA 98104
- Location Phone
- (206) 329-1760
- Mailing Address
- 5184 N STANDING ROCK PL TUCSON, AZ 85750
- Mailing Phone
- (214) 288-6468
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-14-2005
- Last Update Date
- 07-12-2023
- Code Navigator
A psychiatrist like Shyam Gupta are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Shyam Gupta opted out of Medicare effective on 10-01-2023 until 10-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 60107172
- License State
- WA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2038666 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Shyam Gupta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2023
Opt-Out End Date: 10-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $189.37
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $47.34
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.74
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $19.68
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 8 | 1 | 8 | 5 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 16 | 1 | 16 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 6 + 1 + 1 + 6 + 5 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1205818598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053317222 | DR. LINDA C ANDERSON M.D. Individual | Internal Medicine (Pulmonary Disease) | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1992791008 | TAMMY D MEEHAN MD Individual | Pediatrics | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1134101439 | DR. SAMEER H. KHAN MD Individual | Ophthalmology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1689646614 | ALEX D COOPER M.D. Individual | Psychiatry & Neurology (Neurology) | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1376515015 | DR. EMILY BERGIDA BRADLEY MD Individual | Urology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1598730350 | PETER ALBRO MD Individual | Internal Medicine (Cardiovascular Disease) | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1104892843 | MARCOS ANTEZANA M.D. Individual | Dermatology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1689640351 | PETER BACIEWICZ M.D. Individual | Internal Medicine (Cardiovascular Disease) | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1811963424 | ANN BRIDGES M.D. Individual | Obstetrics & Gynecology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1114993524 | ELIZABETH CHOY M.D. Individual | Ophthalmology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1407822679 | MIEN-CHI CHEN M.D. Individual | Otolaryngology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1770559676 | JOHN DOCES M.D. Individual | Internal Medicine (Cardiovascular Disease) | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1851367791 | MARC CORDOVA M.D. Individual | Internal Medicine | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1275500019 | KATHLEEN STICKNEY M.D. Individual | Otolaryngology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1417924325 | DANIEL FLUGSTAD M.D. Individual | Orthopaedic Surgery | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1225005101 | GREGORY JOHN M.D. Individual | Internal Medicine | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1801863394 | JANA HUTCHISON AUDIOLOGIST Individual | Audiologist | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1437126869 | MARC GONCHAR M.D. Individual | Internal Medicine | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1366419756 | DONALD KERN M.D. Individual | Dermatology | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
| 1831166024 | HENRY LI M.D. Individual | Internal Medicine (Hematology & Oncology) | 904 7TH AVE SEATTLE, WA 98104 (206) 329-1760 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205818598, enumerated in the NPI registry as an "individual" on November 14, 2005
The provider is located at 904 7th Ave Seattle, Wa 98104 and the phone number is (206) 329-1760
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $189.37 with an average copayment of $47.34 for new patient appointments. Established patients should expect a typical charge of $78.74 and an average copayment of 19.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on October 01, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2025.
This NPI record was last updated on November 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.