Vikram Rasiklal Shukla, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

33304 Issued in NC

Practice address

839 Majestic CT
Suite #8
Gastonia, NC 28054-5147

Phone

(704) 868-8988

Fax

(704) 868-9948

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vshukla@vikshuklapsychiatry.amazing-direct.com

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.

• Vikram R. Shukla, MD Child, Adolescent & Adult Psychiatry Services

  • Psychiatry Physician
  • Gastonia, NC
  • NPI 1053775189
  NPD Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1275599649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT",
            "address_2": "SUITE #8",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545147",
            "telephone_number": "704-868-8988",
            "fax_number": "704-868-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT",
            "address_2": "SUITE #8",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545147",
            "telephone_number": "704-868-8988",
            "fax_number": "704-868-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "VIKRAM",
        "middle_name": "RASIKLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "33304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Parr Shortridge, FNP-C
• Matthew N Shortridge, CRNA
• Joseph Shotts, OTD, OTR/L
• Kellie Marie Shuford
• Nilima Vikram Shukla, M.D.
• Sarah Shumate, MA, CCC-SLP
• Yelena Shushlyakova, RN
• Carlos A Sicilia, M.D.
• Obukohwo Francis Sido, MD
• Amy McCarthy Sifford, PH.D, LCMHCS

• Child & Adolescent Psychiatry Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.