Gaurav Shukla, M.D., PH.D.
Individual provider Active NPI Radiation Oncology Physician · Newark, DE
NPI 1194068841 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1194068841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- C1-0012765 (DE)
- Practice address
- 4701 Ogletown Stanton Rd Ste 1110
Newark, DE 19713-2079 - Phone
- (302) 623-4800
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- University of Pittsburgh School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiation Oncologists, PA
Christiana Care Pennsylvania Inc
Practice addresses (Care Compare)
161 Wilimington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (610) 361-1170
4701 Ogletown Stanton Rd
Suite 1110
Newark, DE 19713-2079
Phone (302) 623-4800
4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Phone (302) 733-1830
774 Christiana Rd
Suite 2
Newark, DE 19713-4219
Phone (302) 623-4800
Hospital & facility affiliations
- Christiana Hospital
- Union Hospital of Cecil County
- Beebe Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180813002499 | PA | Practitioner - Radiation Oncology | 8123243391 | Reassigns benefits to 3 organizations |
| I20180813002825 | DE | Practitioner - Radiation Oncology | 8123243391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0012765 | DE | MD | Radiation Oncology Physician |
| MD464808 | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Pennsylvania Inc | Radiation Oncology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Radiation Oncology | Current |
Accepting new patients |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current |
Accepting new patients | |
| Radiation Oncologists PA | Radiation Oncology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Past | Accepting new patients |
Locations
200 Banning St
Ste 110
Dover, DE 19904
Phone (302) 346-4000
4701 Ogletown Stanton Rd
Ste 2400
Newark, DE 19713
Phone (302) 731-7782
4755 Ogletown Sta Rd
Newark, DE 19718
Phone (302) 733-2182
4701 Ogletown Stanton Rd
Ste 1110
Newark, DE 19713
Phone (302) 623-4800
4701 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 266-7800
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4701 Ogletown Stanton Rd
Ste 1109
Newark, DE 19713
Phone (302) 623-4800
774 Christiana Rd
Ste 2
Newark, DE 19713
Phone (302) 623-4800
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
161 Wilmington W Chester Pike
Ste 1500
Chadds Ford, PA 19317
161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042
900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088
Interoperability endpoints
- gshukla@uhcc.direct.varian.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD464808 | PA | |
| Radiation Oncology Physician | 2085R0001X | C1-0012765 | DE | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4701 Ogletown Stanton Rd Ste 1110
Newark, DE 19713-2079
Mailing address
4701 Ogletown Stanton Rd Ste 1109
Newark, DE 19713-2079
Phone (302) 623-4800
Other providers in Newark, DE
- Stacy Lynn Shoup
- Anna O'Shea Shovestul
- Malisa Shreve
- Ghassan Baha Shubbar
- Shujaa Healthcare Services LLC
- Latoya Shuler
- Jaclyn Damico Shuman
- Jeffrey D Shuman
- Brianna Shumate
- Siamak Samii MD
All providers in Newark, DE · Radiation Oncology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.