Individual provider Active NPI

Shilpa Jayaramaswamy Sulochana, MD

  • Pediatrics Physician
  • Fremont, CA
National Provider Identifier
1487902524
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C201237 Issued in CA
Practice address
39500 Fremont Blvd Ste 100
Fremont, CA 94538-2101
Phone
(510) 248-1800
Fax
(510) 687-1356
NPI assigned
Aug 21, 2012
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 C201237 CA Primary

Addresses

Primary practice location

39500 Fremont Blvd Ste 100
Fremont, CA 94538-2101

Mailing address

39500 Fremont Blvd Ste 100
Fremont, CA 94538-2101
Phone (510) 248-1800

Other names 1

  • Shilpa Sulochana Professional name

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
I20250722003784 CA Practitioner - Pediatric Medicine 9537675913 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C201237CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peds Center of Round Rock PA Pediatrics CurrentSince Feb 1, 2020 Accepting new patients
Washington Township Medical Foundation Pediatrics CurrentSince Jun 10, 2025 Accepting new patients
Washington Township Medical Foundation CurrentSince Jun 10, 2025 Accepting new patients
Washington Township Medical Group Past Accepting new patients
Pediatric First, PC Pediatrics Past Accepting new patients
Peds Center of Round Rock PA Pediatrics PastSince Feb 1, 2020 Accepting new patients

Locations

39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

218 Highway 290 W
Elgin, TX 78621
Phone (512) 281-1900

7700 Cat Hollow Dr
Ste 104
Round Rock, TX 78681
Phone (512) 649-2662

Interoperability endpoints

  • Direct secure messaging: sjayaramaswamysulochana153792@direct.whhs.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1487902524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 FREMONT BLVD STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382101",
            "telephone_number": "510-248-1800",
            "fax_number": "510-687-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 FREMONT BLVD STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382101",
            "telephone_number": "510-248-1800",
            "fax_number": "510-687-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMASWAMY SULOCHANA",
        "first_name": "SHILPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C201237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHILPA",
            "last_name": "SULOCHANA",
            "credential": "SHILPA SULOCHANA MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.