Active NPI
Manjul Shukla, MD
- Internal Medicine Physician
- Worcester, MA
National Provider Identifier
1467402057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48854
- Practice address
- 5 Neponset St
Worcester, MA 01606-2714 - Phone
- (508) 595-2300
- Fax
- (508) 853-5226
- NPI assigned
- May 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48854 | MA | Primary |
Addresses
Primary practice location
5 Neponset St
Worcester, MA 01606-2714
Mailing address
5 Neponset St FL Street12
Worcester, MA 01606-2714
Phone (508) 595-2300
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | ONE HEALTH PLAN | |
| AA1250 | Other | HARVARD PILGRIM HLTHCARE | |
| B01040 | Other | BLUE SHIELD HMO BLUE | |
| 1061411 | Other | FIRST HEALTH | |
| 9773216 | Other | CIGNA HEALTH PLAN | |
| B01040 | Other | BLUE CARE ELECT | |
| 0401702 | Other | EVERCARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 9900237 | Other | FALLON COMM HEALTH PLAN | |
| B01040 | Other | BLUE SHIELD INDEMNITY | |
| 0178322 | Medicaid | MA | |
| 27075 | Other | CHILDRENS MED SECUR PLAN | |
| 7432340 | Other | US HEALTHCARE | |
| 784196 | Other | MVP HEALTH CARE | |
| 0174196 | Other | MEDICAID WELFARE | |
| 27075 | Other | HEALTHY START | |
| 7432340 | Other | AETNA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1467402057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST FL STREET12",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-595-2300",
"fax_number": "508-853-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 NEPONSET ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-595-2300",
"fax_number": "508-853-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "MANJUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "48854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTHCARE",
"identifier": "AA1250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "B01040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1061411",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "9773216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "B01040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0401702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM HEALTH PLAN",
"identifier": "9900237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "B01040",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0178322",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MED SECUR PLAN",
"identifier": "27075",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "7432340",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "0174196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "27075",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7432340",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.