SHAMILA GOPAUL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104286285

SHAMILA GOPAUL (CRNA) is a healthcare provider. based in El paso, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP129995 (TX). The NPI Number for SHAMILA GOPAUL (CRNA) is 1104286285

Main info

Female
Sole Proprietor
11 Years Of Experience
Name
SHAMILA GOPAUL (CRNA)
NPI
1104286285
Phone
(915) 215-5260
Address
440 RAYNOLDS
Enumeration Date
2 March 2016
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817448400
Graduation Year
2015 (11 years ago)
PAC ID
0244538965
Group Practice PAC ID
2365405024
Professional Enrollment ID
I20200706000893
Address ID
MA018050001BU41XXXRDXX300

Contacts

Secure Messaging
sgopaul@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:10State licenses:3Other namesUpdated within 12 months

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for SHAMILA GOPAUL (CRNA)

  • 440 RAYNOLDS

    MSC51015

    EL PASO, TX 79905

    Phone: (915) 215-5260

    Fax: (915) 215-5386

    Type: Mailing

  • 10301 GATEWAY BLVD W

    EL PASO, TX 799257701

    Phone: (917) 597-8578

    Type: Location

  • PROVIDER ENROLLMENT 41 MALL ROAD

    BURLINGTON, MA 018050001

    Phone: (781) 744-8085

    Type: Mailing

  • 85 HERRICK ST

    BEVERLY, MA 019151790

    Phone: (978) 816-3700

    Type: Location

  • 1701 N Senate Blvd

    Indianapolis, IN 462021239

    Phone: (317) 577-4200

    Fax: (317) 577-9503

    Type: Location

  • 10301 Gateway Blvd W

    El Paso, TX 799257701

    Phone: (917) 597-8578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160413002227ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20200706000893ICertified Registered Nurse Anesthetist (Crna)MATBD
I20210421000791ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20221223000854ICertified Registered Nurse Anesthetist (Crna)INTBD
I20230919004297ICertified Registered Nurse Anesthetist (Crna)TNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365405024View full group profile
NameSpecialtyState
Infectious DiseaseMA
Internal MedicineMA
A N E S T H E S I O L O G YMA
-MA
Clinical Social WorkerMA
Interventional Cardiology, Cardiovascular Disease (Cardiology)MA
-MA
Nurse PractitionerMA
-MA
-MA

Reviews

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Frequently asked questions

What NPI should I save for SHAMILA GOPAUL (CRNA)?
Save NPI 1104286285 if you need a stable reference for SHAMILA GOPAUL (CRNA).
Does this profile mean SHAMILA GOPAUL (CRNA) is currently active?
Yes — SHAMILA GOPAUL (CRNA) appears active in the national provider directory.
Does SHAMILA GOPAUL (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for SHAMILA GOPAUL (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHAMILA GOPAUL (CRNA)?
The page summarizes El Paso, Texas for SHAMILA GOPAUL (CRNA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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