Individual provider Active NPI

Shailendra Acharya, FNP-BC

  • Family Nurse Practitioner
  • Dublin, CA
National Provider Identifier
1245877315
Registry record updated Dec 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013230 Issued in CA
Practice address
5010 Haven PL Apt 112
Dublin, CA 94568-7920
Phone
(925) 336-9739
NPI assigned
Dec 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013230 CA Primary

Addresses

Primary practice location

5010 Haven PL Apt 112
Dublin, CA 94568-7920

Mailing address

5010 Haven PL Apt 112
Dublin, CA 94568-7920
Phone (925) 336-9739

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409003415 CA Practitioner - Nurse Practitioner 7911336011 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95013230CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince May 18, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 18, 2021 Accepting new patients
Infusion Express of California Inc CurrentSince Apr 1, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733

Interoperability endpoints

  • Direct secure messaging: shailendra.acharya.p47@direct.medcor.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575676800000",
    "number": "1245877315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HAVEN PL APT 112",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687920",
            "telephone_number": "925-336-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 HAVEN PL APT 112",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687920",
            "telephone_number": "925-336-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "SHAILENDRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-07",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.