Active NPI
Meenal Shukla, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 236773
- Practice address
- 1530 Bedford Ave FL 3
Brooklyn, NY 11216-4117 - Phone
- (718) 400-6951
- Fax
- (347) 789-9300
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 236773 | NY | Primary |
Addresses
Primary practice location
1530 Bedford Ave FL 3
Brooklyn, NY 11216-4117
Mailing address
14 Kristi Dr
Jericho, NY 11753-1309
Phone (516) 708-7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1530 Bedford Ave
Brooklyn, NY 11216-4117
Phone (516) 708-7008
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236773 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janice Prime Care Medical PC | Internal Medicine | Current | Accepting new patients |
| Preferred Professional Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Suman Chandra Ravuri, MD | Internal Medicine | Past | Accepting new patients |
Locations
630 E 104th St
Brooklyn, NY 11236
Phone (718) 240-3100
585 Schenectady Ave
Ste D
Brooklyn, NY 11203
585 Schenectady Ave
Ste E
Brooklyn, NY 11203
Phone (416) 426-0147
1530 Bedford Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 400-6951
3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mshukla@jprime.curemd.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1275752750
-
- Internal Medicine Physician
- Ronkonkoma, NY
- NPI 1083916670
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1750445771
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1508806076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KRISTI DR",
"city": "JERICHO",
"state": "NY",
"postal_code": "117531309",
"telephone_number": "516-708-7008",
"fax_number": "347-464-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 BEDFORD AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112164117",
"telephone_number": "718-400-6951",
"fax_number": "347-789-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "MEENAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "236773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.