Individual provider Active NPI

Shilpa Puppala, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1376632638
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036113036 Issued in IL
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

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036113036MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603000363 CA Practitioner - Diagnostic Radiology 3274532155 Reassigns benefits to 10 organizations

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
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036113036ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology CurrentSince Jun 30, 2019 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Sep 15, 2015 Accepting new patients
County of Santa Clara CurrentSince Oct 15, 2024 Accepting new patients
County of Santa Clara CurrentSince Oct 15, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Jun 14, 2016 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Mar 15, 2014 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2024 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Sep 15, 2015 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2024 Accepting new patients
John Muir Physician Network CurrentSince Oct 14, 2021 Accepting new patients
County of Santa Clara CurrentSince Jan 23, 2025 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 CurrentSince Sep 12, 2016 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Mar 15, 2014 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

  • Direct secure messaging: 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.

View all 32

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.