Individual provider Active NPI

Shikha Gupta, MD

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1235189085
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26632 Issued in AL
Practice address
2451 Fillingim St
Mobile, AL 36617-2238
Phone
(251) 471-7150
Fax
(251) 471-7008
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26632 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Mobile, AL 36617-2238

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 471-7150

Other identifiers 14

IdentifierTypeStateIssuer
009911162MedicaidAL
009911161MedicaidAL
009936027MedicaidAL
051533399OtherALBLUE CROSS
51542494OtherALBCBS
51542857OtherALBCBS - STANTON RD
009936024MedicaidAL
051533403OtherALBLUE CROSS
51542495OtherALBCBS
009911163MedicaidAL
009936023MedicaidAL
009936026MedicaidAL
051533401OtherALBLUE CROSS
051533402OtherALBLUE CROSS

Other names 1

  • Shikha Khullar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060705000267 AL Practitioner - Nuclear Medicine 6406868793 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, shared by 4 NPIs, 342 clinicians

Practice addresses (Care Compare)

1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone (251) 665-8000

1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000

2451 University Hospital Dr
Mobile, AL 36617-2300

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26632ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Diagnostic Radiology Current Accepting new patients
University of South Alabama Mitchell Cancer Institute CurrentSince Mar 1, 2017 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Mar 2, 2020 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Oct 18, 2019 Accepting new patients
University of South Alabama Current Accepting new patients
University of South Alabama CurrentSince Mar 1, 2017 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Oct 18, 2019 Accepting new patients

Locations

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

5600 Girby Rd
Mobile, AL 36693
Phone (251) 435-2646

Organizations & group practices 7

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 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1235189085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-471-7150",
            "fax_number": "251-471-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7150",
            "fax_number": "251-471-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHIKHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "26632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911162",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911161",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936027",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051533399",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51542494",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - STANTON RD",
            "identifier": "51542857",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936024",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051533403",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51542495",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911163",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936023",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936026",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051533401",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051533402",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIKHA",
            "last_name": "KHULLAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.