Individual provider Active NPI

Utkarsh Chris Shukla, MD

  • Radiation Oncology Physician
  • Albuquerque, NM
National Provider Identifier
1437656154
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD2023-0189 Issued in NM
Practice address
4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone
(505) 842-8171
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD2023-0189 NM Primary

Addresses

Primary practice location

4901 Lang Ave NE
Albuquerque, NM 87109-4397

Mailing address

480 Main St Apt 426
Malden, MA 02148-5142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20230503000393 NM Practitioner - Radiation Oncology 1052669074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of New Mexico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Oncology Hematology Consultants LTDGroup PAC ID 3577533447, 66 clinicians

Practice addresses (Care Compare)

4901 Lang Ave NE
New Mexico Cancer Center
Albuquerque, NM 87109-4397
Phone (505) 842-8171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100Reported as group
Quality
93.17
Promoting interoperability
93
Improvement activities
40
Cost
74.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2023-0189NMMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Oncology Hematology Consultants, LTD. Radiation Oncology CurrentSince May 1, 2023 Accepting new patients

Locations

4901 Lang Ave NE
Ste 302
Albuquerque, NM 87109

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1437656154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAIN ST APT 426",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397",
            "telephone_number": "505-842-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "UTKARSH",
        "middle_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NM",
            "license": "MD2023-0189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.