Individual provider Active NPI

Chirag S. Shukla, M.D.

  • Clinical Neurophysiology Physician
  • Hamilton, NJ
National Provider Identifier
1164520854
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
25MA07228400 Issued in NJ
Practice address
1445 Whitehorse Mercerville Rd Ste 104
Hamilton, NJ 08619-3834
Phone
(609) 537-7300
Fax
(609) 537-7301
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA07228400 NJ
Clinical Neurophysiology Physician 2084N0600X 25MA07228400 NJ Primary

Addresses

Primary practice location

1445 Whitehorse Mercerville Rd Ste 104
Hamilton, NJ 08619-3834

Mailing address

2 Capital Way Ste 456
Pennington, NJ 08534-2521
Phone (609) 537-7300

Other practice location 1

2 Capital Way
Suite 456
Pennington, NJ 08534-5227
Phone (609) 537-7300

Other identifiers 1

IdentifierTypeStateIssuer
8554102MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chirag.shukla.1@12833.direct.athenahealth.com Direct
Direct Messaging Address chirag.shukla.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090313000255 NJ Practitioner - Neurology 6204992480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 537-7300

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07228400NJMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Neurology CurrentSince Sep 13, 2016 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jan 31, 2010 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jan 31, 2010 Accepting new patients
Comprehensive Neurology LLC PastSince Jul 1, 2010 Accepting new patients
Associated Neurologists of N.J., PA Neurology Past Accepting new patients
Lawrenceville Neurology Center, P.a. Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

11 Centre Dr
Ste A
Monroe Twp, NJ 08831
Phone (609) 395-2462

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

8 Forrestal Rd S
Ste 101
Princeton, NJ 08540
Phone (609) 896-1701

1445 Whitehorse Mercerville Rd
Ste 104
Trenton, NJ 08619
Phone (609) 371-4666

1445 Whitehorse Mercerville Rd
Ste 103
Trenton, NJ 08619
Phone (609) 587-6661

1445 Whitehorse Mercerville Rd
Trenton, NJ 08619
Phone (609) 393-1524

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chirag.shukla.1@12833.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1164520854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 456",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD STE 104",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Capital Way",
            "address_2": "Suite 456",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085345227",
            "country_code": "US",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "CHIRAG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07228400",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA07228400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8554102",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chirag.shukla.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 Whitehorse Mercerville Rd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chirag.shukla.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 Whitehorse Mercerville Rd Ste 104",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.