Active NPI
Shilpa Puppala, MD
- Diagnostic Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036113036
- Practice address
- 836 W Wellington Ave
Chicago, IL 60657 - Phone
- (773) 296-7820
- Fax
- (773) 296-7821
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036113036 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Chicago, IL 60657
Mailing address
PO Box 31455
Walnut Creek, CA 94598-8455
Phone (925) 296-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036113036 | Medicaid | IL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
1002 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 646-4646
101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646
1020 Nut Tree Rd
Suite 150
Vacaville, CA 95687-4100
Phone (559) 455-4065
1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646
1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112
2700 Low CT
Fairfield, CA 94534-9715
Phone (707) 432-2500
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- El Camino Health
- Santa Clara Valley Medical Center
- Good Samaritan Hospital
- Sutter Solano Medical Center
- Sutter Delta Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 89.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036113036 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solano Diagnostics Partners, a Calif Limited Partnership | Diagnostic Radiology | Current | Accepting new patients |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| John Muir Physician Network | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| St. Helena Hospital | Past | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Seton Medical Center | Past | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients | |
| John Muir Call Coverage Medical Group, Inc. | Past | Accepting new patients | |
| Sutter Delta Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations (25 of 39)
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200
2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566
2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880
2400 Balfour Rd
Ste 100
Brentwood, CA 94513
Phone (925) 308-8122
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052
2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099
2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500
1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777
2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700
1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377
3000 Telegraph Ave
Oakland, CA 94609
Phone (510) 869-8777
5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507
140 Brookwood Rd
Ste 100
Orinda, CA 94563
Phone (925) 254-9090
400 Taylor Blvd
Ste 105
Pleasant Hill, CA 94523
Phone (925) 687-2570
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
Interoperability endpoints
- spuppala312286@hisp.ehr.sutterhealth.org
Organizations & group practices 32
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.
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Diagnostic Radiology Physician
- Fairfield, CA
- NPI 1811940661
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1235184110
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1487040770
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
-
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1376632638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31455",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945988455",
"telephone_number": "925-296-7150",
"fax_number": "925-296-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-296-7820",
"fax_number": "773-296-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUPPALA",
"first_name": "SHILPA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036113036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036113036",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.