Active NPIIndividual providerSole proprietor

Shamila Gopaul, CRNA

Nurse Anesthetist, Certified Registered in Beverly, Massachusetts

NPI Number1104286285
Practice location
85 Herrick St, Beverly, MA 01915-1790
Fax
—
Last updated
September 2, 2026

Shamila Gopaul is a Nurse Anesthetist, Certified Registered based in Beverly, MA. Shamila Gopaul practices in Beverly, MA and has the professional credentials of CRNA. The NPI Number for Shamila Gopaul is 1104286285 and holds a License No. 874854 (TX). The current practice location address for Shamila Gopaul is 85 Herrick St, Beverly, MA 01915-1790 and can be reached out via phone at 978-816-3700.

Provider Profile Details

NPI Number
1104286285
Provider Name
Shamila Gopaul
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
85 Herrick St, Beverly, MA 01915-1790
Phone Number
978-816-3700
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Other Names
Shamila Gopaul-Roy (Former Name)
Provider Enumeration Date
March 2, 2016
Last Update Date
September 2, 2026
Certification Date
September 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Herrick St
Beverly, MA 01915-1790
Zip
01915-1790
Phone Number
978-816-3700
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8085

License Information

License Number (1)
874854
License State (1)
TX
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
APRN05248
License State (2)
RI
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
RN2343495
License State (3)
MA
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (4)
AP129995
License State (4)
TX
Taxonomy (4)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shamila Gopaul, CRNA?

The NPI number of Shamila Gopaul, CRNA is 1104286285. It was assigned on March 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Shamila Gopaul, CRNA?

Shamila Gopaul, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in TX under license number 874854.

Where does Shamila Gopaul, CRNA practice?

The practice location is 85 Herrick St, Beverly, MA 01915-1790. The office can be reached at 978-816-3700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104286285 directly on the NPPES registry website.

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