Shilpa Mahendra Clott, M.D.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

25MA07063500 Issued in NJ

Practice address

31 Mountain Blvd BLDG T
Suite 1
Warren, NJ 07059-5648

Phone

(908) 222-0070

Fax

(908) 374-6152

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shilpa Mahendra Radia Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Hahnemann University College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shilpa.clott.1@27010.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  Medicare reassignment Care Compare group NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  Medicare reassignment NPD
• Princeton Healthcare Provider Group LLC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1699141507

  Obstetrics

  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Cranbury, NJ
  • NPI 1114397650
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Princeton Healthcare Provider Group LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plainsboro, NJ
  • NPI 1437818085
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Robert Wood Johnson University Hospital Inc

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1083635940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD BLDG T",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595648",
            "telephone_number": "908-222-0070",
            "fax_number": "908-374-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD BLDG T",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595648",
            "telephone_number": "908-222-0070",
            "fax_number": "908-374-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOTT",
        "first_name": "SHILPA",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NJ",
            "license": "25MA07063500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHILPA",
            "last_name": "RADIA",
            "middle_name": "MAHENDRA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Clancy
• Clarity Laboratories LLC
• Clark Warren Associates in Internal Medicine
• Joseph A Clemente, M.D.
• Matthew Alan Clott, MD
• Communicare LTD., Inc
• Comprehensive Family Medicine
• Beth A Conlon, PHD, RD
• Megan Elizabeth Cook
• Michelle Cook

• Obstetrics Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Obstetrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.

Verify at the official NPI Registry.