Active NPI
Chittaranjan Jayshanker Shukla, M.D.
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1083672398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34405
- Practice address
- 2720 Airport Dr
Columbus, OH 43219-2219 - Phone
- (614) 388-7650
- Fax
- (614) 473-3789
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34405 | KY | Primary |
Addresses
Primary practice location
2720 Airport Dr
Columbus, OH 43219-2219
Mailing address
2720 Airport Dr
Columbus, OH 43219-2219
Phone (614) 388-7650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256 | Other | KY | MEDICARE |
| 610661458 | Other | KY | GROUP TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, KY
- NPI 1578527610
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1083672398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 AIRPORT DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432192219",
"telephone_number": "614-388-7650",
"fax_number": "614-473-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 AIRPORT DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432192219",
"telephone_number": "614-388-7650",
"fax_number": "614-473-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "CHITTARANJAN",
"middle_name": "JAYSHANKER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "34405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0256",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "610661458",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.