Active NPI
Shilpa Mohan Ullikashi, MD
- Pediatrics Physician
- Casa Grande, AZ
National Provider Identifier
1033632336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 73510
- Practice address
- 1760 E Florence Blvd Ste 100
Casa Grande, AZ 85122-4765 - Phone
- (520) 374-6505
- NPI assigned
- Jul 19, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 70172-20 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Pediatrics Physician | 208000000X | 73510 | AZ | Primary |
Addresses
Primary practice location
1760 E Florence Blvd Ste 100
Casa Grande, AZ 85122-4765
Mailing address
1760 E Florence Blvd Ste 100
Casa Grande, AZ 85122-4765
Phone (520) 374-6505
Other practice location 1
1715 Dousman St
Green Bay, WI 54303-3211
Phone (920) 496-4700
Other practice location 2
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73510 | AZ | MD | Pediatrics Physician |
| 70172-20 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Childrens Banner Health Clinic LLC | Current | Accepting new patients | |
| Banner Childrens Banner Health Clinic LLC | Current | Accepting new patients | |
| Banner Childrens Banner Health Clinic LLC | Current | Accepting new patients |
Locations
1760 E Florence Blvd
Ste 100
Casa Grande, AZ 85122
Phone (520) 374-6505
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1407191216
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1285278077
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1558606020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1033632336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E FLORENCE BLVD STE 100",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224765",
"telephone_number": "520-374-6505",
"fax_number": "520-374-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E FLORENCE BLVD STE 100",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224765",
"telephone_number": "520-374-6505"
}
],
"practiceLocations": [
{
"address_1": "1715 Dousman St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543033211",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "54449",
"country_code": "US",
"telephone_number": "715-387-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULLIKASHI",
"first_name": "SHILPA",
"middle_name": "MOHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "70172-20",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "73510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
- Tucson Vamc
- Ny'Kol Turner, PHARMD
- Turtle Bay Cafe of Casa Grande, LLC (Transitional Living Center Recovery)
- Tusa Saddle Behavioral Health Services LLC
- James Tyree Jr.
- Jacob Umscheid
- Terricita Underwood
- United Pulmonary & Sleep Medicine, Inc
- United Respiratory Services LLC (Valley Respiratory Services)
- Juliette Urbano, SLPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.