Active NPI
Kshamata Shalini, MD
- Internal Medicine Physician
- Weston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40875-20
- Practice address
- 3400 Ministry Pkwy
Weston, WI 54476-5220 - Phone
- (715) 393-3000
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04S962 | GA | |
| Internal Medicine Physician | 207R00000X | 40875-20 | WI | Primary |
Addresses
Primary practice location
3400 Ministry Pkwy
Weston, WI 54476-5220
Mailing address
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000
Other practice location 1
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40875-20 | Other | WI | WI STATE LIC |
| 32592000 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Practice addresses (Care Compare)
110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2351
112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-6621
Hospital & facility affiliations
- Aurora Medical Center Bay Area
- Langlade Hospital
- Aspirus Wausau Hospital
- Aurora Baycare Medical Ctr
- Aspirus Merrill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04S962 | GA | MD | Internal Medicine Physician |
| 40875-20 | WI | MD | Internal Medicine Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200
3100 Shore Dr
Ste 111
Marinette, WI 54143
Phone (715) 732-8212
3100 Shore Dr
Ste 106
Marinette, WI 54143
Phone (715) 732-8230
3100 Shore Dr
Marinette, WI 54143
Phone (715) 735-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000
410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Interoperability endpoints
- https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4
- kshamata.shalini@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
- kshalini98129@direct.myadvocateaurora.org
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023099306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 MINISTRY PKWY",
"city": "WESTON",
"state": "WI",
"postal_code": "544765220",
"telephone_number": "715-393-1000",
"fax_number": "715-393-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MINISTRY PKWY",
"city": "WESTON",
"state": "WI",
"postal_code": "544765220",
"telephone_number": "715-393-3000"
}
],
"practiceLocations": [
{
"address_1": "3003 University Dr",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541434110",
"country_code": "US",
"telephone_number": "715-735-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHALINI",
"first_name": "KSHAMATA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2023-03-07",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "04S962",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "40875-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE LIC",
"identifier": "40875-20",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32592000",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "3400 Ministry Pkwy",
"city": "Weston",
"state": "WI",
"country_code": "US",
"postal_code": "544765220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.