Active NPI
Shubham M Bakshi, M.D.
- Neonatal-Perinatal Medicine Physician
- Charlotte, NC
National Provider Identifier
1285097972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 307977
- Practice address
- 200 Hawthorne LN
Charlotte, NC 28204-2515 - Phone
- (513) 807-1952
- NPI assigned
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 278270 | MA | |
| Pediatrics Physician | 208000000X | 307977 | NC | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 307977 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
Charlotte, NC 28204-2515
Mailing address
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (513) 807-1952
Other practice location 1
800 Washington St
Boston, MA 02111-1552
Phone (513) 807-1952
Other practice location 2
759 Chestnut St
Springfield, MA 01199-1001
Phone (513) 807-1952
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307977 | NC | MD | Neonatal-Perinatal Medicine Physician |
Interoperability endpoints
- sbakshi664345@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1285097972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "513-807-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "513-807-1952"
}
],
"practiceLocations": [
{
"address_1": "800 Washington St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111552",
"country_code": "US",
"telephone_number": "513-807-1952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 Chestnut St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011991001",
"country_code": "US",
"telephone_number": "513-807-1952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKSHI",
"first_name": "SHUBHAM",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MA",
"license": "278270",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": "307977",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NC",
"license": "307977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.