Individual provider Active NPI

Sonia Shukla-Ahluwalia, M.D.

  • Pediatrics Physician
  • Wylie, TX
National Provider Identifier
1275851156
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q7792 Issued in TX
Practice address
3360 W. FM 544, #910
Wylie, TX 75098
Phone
(972) 429-4800
Fax
(469) 757-4890
NPI assigned
May 17, 2010
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q7792 TX Primary

Addresses

Primary practice location

3360 W. FM 544, #910
Wylie, TX 75098

Mailing address

201 I-30 East, Suite 100
Rockwall, TX 78087
Phone (972) 772-3100

Other practice location 1

6301 Gaston Avenue
Suite 750
Dallas, TX 75214
Phone (214) 214-3100

Other practice location 2

201 I-30 East, Suite 100
Rockwall, TX 78087
Phone (972) 772-3100

Other names 1

  • Dr. Sonia Shukla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q7792TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Tree Pediatrics, P.a. Pediatrics CurrentSince Nov 3, 2024 Accepting new patients

Locations

201 E Interstate 30
Ste 100
Rockwall, TX 75087
Phone (972) 772-3100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1275851156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 I-30 EAST, SUITE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "78087",
            "telephone_number": "972-772-3100",
            "fax_number": "469-757-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 W. FM 544, #910",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-429-4800",
            "fax_number": "469-757-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Gaston Avenue",
            "address_2": "Suite 750",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75214",
            "country_code": "US",
            "telephone_number": "214-214-3100",
            "fax_number": "469-757-4890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 I-30 East, Suite 100",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "78087",
            "country_code": "US",
            "telephone_number": "972-772-3100",
            "fax_number": "469-757-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA-AHLUWALIA",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q7792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "SHUKLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.