Individual provider Active NPI

Rachana Ramesh Shukla, MD

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1194064717
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
Practice address
150 Lockwood Ave Ste 30
New Rochelle, NY 10801-4914
Phone
(914) 636-2611
Fax
(914) 636-0987
NPI assigned
Feb 1, 2013
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

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
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
I20151013001635 NY Practitioner - Internal Medicine 9234448218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Lockwood Ave
FL 3
New Rochelle, NY 10801-4916
Phone (914) 636-2611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shukla Medical Services PLLC Internal Medicine CurrentSince Aug 18, 2015 Accepting new patients
V Shukla M.D. PLLC CurrentSince May 28, 2023 Accepting new patients

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

Interoperability endpoints

  • Direct secure messaging: shuklamedicalservices.rachanashukla@148833.advancedmd-direct.com

Organizations & group practices 2

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 2

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": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1194064717",
    "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": {
        "last_name": "SHUKLA",
        "first_name": "RACHANA",
        "middle_name": "RAMESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.