Prem C Shukla, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K6929 Issued in TX

Practice address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052

Phone

(800) 342-2898

NPI assigned

Jun 14, 2006

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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.

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  NPD (past)
• Chandor Emergency Physicians

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• Citizens Medical Center County of Victoria

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• Ellis Emergency Group PA

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• Four States Emergency Physicians

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  NPD (past)
• Hayes Creek Emergency Physicians

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• Hood Emergency Medicine Associates PA

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  NPD (past)
• Howard Emergency Medicine Associates PA.

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  • NPI 1609972447

  Emergency Medicine

  NPD (past)
• Lamar Emergency Group PA

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  • Paris, TX
  • NPI 1346353372
  NPD (past)
• Odessa Physician Associates, PLLC

  • Emergency Medicine Physician
  • Odessa, TX
  • NPI 1457398364
  NPD (past)
• Palo Pinto Emergency Physicians

  • Emergency Medicine Physician
  • Mineral Wells, TX
  • NPI 1932149804
  NPD (past)
• Port Arthur Emergency Physicians

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1255491627
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1235172248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 SPEEDWAY APT 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051551",
            "telephone_number": "800-342-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "800-342-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "PREM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K6929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0065PT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043985335",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01157825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Lewis Shubeck, DO
• Nancy Elizabeth Shubert, RBT
• Katy Whitney Shuck, MSW, LCSW
• Christina L. Shuey, FNP
• Amy Hill Shugart, P.T.
• Robert Keith Shuler Jr., MD
• Ryan W Shuler, COTA/L
• Devin Nathaniel Shull
• Kennedy Shull
• Shults Pediatrics, P. C.

• Emergency Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.