Organization Active NPI

Shukla Medical Services PLLC

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1144698622
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
277625 Issued in NY
Legal business name
SHUKLA MEDICAL SERVICES PLLC
Practice address
150 Lockwood Ave Ste 30
New Rochelle, NY 10801-4914
Phone
(914) 636-2611
Fax
(914) 636-0987
NPI assigned
Sep 14, 2015
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Rachana Ramesh Shukla, MDNPI 1194064717
Title
Physician/Owner
Phone
(914) 636-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 277625 NY Primary

Addresses

Primary practice location

150 Lockwood Ave Ste 30
New Rochelle, NY 10801-4914

Mailing address

150 Lockwood Ave Ste 30
New Rochelle, NY 10801-4914
Phone (914) 636-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151013001485 NY Part B Supplier - Clinic/Group Practice 8325357304 Receives reassigned benefits from 1 practitioner
Practice locations: New Rochelle, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2205586Shukla Medical Services PLLC150 Lockwood Ave Floor 3 Suite #30, New Rochelle, NY 10801Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

150 Lockwood Ave
Ste 30
New Rochelle, NY 10801
Phone (914) 636-2611

25 Sickles Pl
New Rochelle, NY 10801
Phone (914) 632-0300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1144698622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOCKWOOD AVE STE 30",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014914",
            "telephone_number": "914-636-2611",
            "fax_number": "914-636-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOCKWOOD AVE STE 30",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014914",
            "telephone_number": "914-636-2611",
            "fax_number": "914-636-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUKLA MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RACHANA",
        "authorized_official_middle_name": "RAMESH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "914-636-2611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "277625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.