Individual provider Active NPI

Aswin Nukala, M.D.

  • Internal Medicine Physician
  • Porter Ranch, CA
National Provider Identifier
1093155350
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A141621 Issued in CA
Practice address
11716 Abbey LN
Porter Ranch, CA 91326-2469
Phone
(314) 422-1432
NPI assigned
Jul 1, 2013
Reactivated
Dec 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036145826 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A141621 CA
Pulmonary Disease Physician 207RP1001X A141621 CA
Internal Medicine Physician 207R00000X A141621 CA Primary

Addresses

Primary practice location

11716 Abbey LN
Porter Ranch, CA 91326-2469

Mailing address

11716 Abbey LN
Porter Ranch, CA 91326-2469
Phone (143) 422-1432

Other practice location 1

1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

Other practice location 2

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

Other practice location 3

4000 Calle Tecate Ste 105
Camarillo, CA 93012-5283
Phone (805) 485-2400

Other practice location 4

St. John's Regional Medical Center - 1600 N Rose Ave
Oxnard, CA 93030
Phone (000) 000-0000

Other practice location 5

St. John's Pleasant Valley Hospital - 2309 Antonio Ave
Camarillo, CA 93012
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, LA, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20171215001505 CA Practitioner - Internal Medicine 2466710637 Reassigns benefits to 7 organizations
I20190214002970 IL Practitioner - Internal Medicine 2466710637 Reassigns benefits to 2 organizations
I20250317002057 LA Practitioner - Internal Medicine 2466710637 Reassigns benefits to 1 organization
I20250916000407 FL Practitioner - Internal Medicine 2466710637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HP Intensivist Medical Group, IncGroup PAC ID 2062806128, 16 clinicians
Palmdale Intensivist IncGroup PAC ID 1355880865, 15 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (310) 698-5452

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A141621CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
Palmdale Intensivist Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Mount Sinai Community Foundation Internal Medicine CurrentSince Dec 29, 2018 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Nukala Med Inc Internal Medicine CurrentSince Nov 5, 2024 Accepting new patients
Waukegan Clinic Corp Internal Medicine CurrentSince Dec 29, 2018 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jun 1, 2025 Accepting new patients
HP Intensivist Medical Group, Inc Critical Care Medicine CurrentSince Oct 1, 2022 Accepting new patients
Arcadia Intensivist Group, Inc. Critical Care Medicine CurrentSince Jun 1, 2023 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Dec 29, 2018 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

Interoperability endpoints

  • Direct secure messaging: aswin.nukala.p23@direct.wcp.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1093155350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 ABBEY LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262469",
            "telephone_number": "143-422-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 ABBEY LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262469",
            "telephone_number": "314-422-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Outlet Center Dr",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930360677",
            "country_code": "US",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Fairfield Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081782",
            "country_code": "US",
            "telephone_number": "773-542-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Calle Tecate Ste 105",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125283",
            "country_code": "US",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Regional Medical Center - 1600 N Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93030",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Pleasant Valley Hospital - 2309 Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "93012",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUKALA",
        "first_name": "ASWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "deactivation_date": "2018-11-09",
        "reactivation_date": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036145826",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A141621",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A141621",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A141621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.