Individual provider Active NPI

Shweta Shukla, MD

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1144726886
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2022-02598 Issued in NC
Practice address
410 Market St Ste 400
Chapel Hill, NC 27516-4061
Phone
(984) 974-3900
NPI assigned
Apr 2, 2018
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2022-02598 NC Primary

Addresses

Primary practice location

410 Market St Ste 400
Chapel Hill, NC 27516-4061

Mailing address

410 Market St Ste 400a
Chapel Hill, NC 27516-4061
Phone (984) 974-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshukla872460@direct.UNC.nchie.net Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221222002096 NC Practitioner - Dermatology 8426393224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

2201 Old NC Hwy 86
Hillsborough, NC 27278-8785
Phone (984) 974-3900

410 Market St
Chapel Hill, NC 27516-4061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions145
Removal or shaving of skin growth1-10
Skin biopsy24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02598NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Dermatology CurrentSince Nov 1, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill PastSince Aug 25, 2024 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

410 Market St
Ste 400
Chapel Hill, NC 27516
Phone (919) 966-2485

410 Market St
Ste 400A
Chapel Hill, NC 27516
Phone (984) 974-3900

2201 Old NC Highway 86
Hillsborough, NC 27278
Phone (910) 818-4606

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

3921 Sunset Ridge Rd
Ste 202
Raleigh, NC 27607
Phone (919) 783-7877

Interoperability endpoints

  • Direct secure messaging: sshukla872460@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1144726886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "SHWETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2022-02598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshukla872460@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "410 Market St Ste 400",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275164061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.