Individual provider Active NPI

Varsha Shukla Lift, MD

  • Pediatrics Physician
  • Wyomissing, PA
National Provider Identifier
1487690582
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
050771 Issued in GA
Practice address
1620 Reading Blvd
Wyomissing, PA 19610-2344
Phone
(770) 881-3800
NPI assigned
Jun 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 050771 GA Primary

Addresses

Primary practice location

1620 Reading Blvd
Wyomissing, PA 19610-2344

Mailing address

1620 Reading Blvd
Wyomissing, PA 19610-2344
Phone (770) 881-3800

Other identifiers 3

IdentifierTypeStateIssuer
000953235BMedicaidGA
50771OtherGASTATE LIC
MD430210OtherPASTATE LICENSE

Other names 1

  • Varsha Shukla Other name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050771GAMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487690582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 READING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102344",
            "telephone_number": "770-881-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 READING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102344",
            "telephone_number": "770-881-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFT",
        "first_name": "VARSHA",
        "middle_name": "SHUKLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "050771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000953235B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "50771",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD430210",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VARSHA",
            "last_name": "SHUKLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.