Shalu P. Gugnani, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

63063-20 Issued in WI

Practice address

901 W Kirchhoff Rd
Arlington Heights, IL 60005-2361

Phone

(847) 618-2700

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgugnani98133@direct.nch.org

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.

• Gateway Professional Services, PC

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1710528518
  Medicare reassignment NPD
• Gateway Professional Services, PC

  • Adult Mental Health Clinic/Center
  • Bloomington, IL
  • NPI 1568164341
  NPD

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1629238746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W KIRCHHOFF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052361",
            "telephone_number": "847-618-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W KIRCHHOFF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052361",
            "telephone_number": "847-618-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGNANI",
        "first_name": "SHALU",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WI",
            "license": "63063-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgugnani98133@direct.nch.org",
            "affiliation": "N",
            "address_1": "901 W Kirchhoff Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• GRT Counseling, Inc.
• Susan Pruitt Gruhlke
• Dava Lynn Grundhoefer, M.D.
• Renee Gucciardi, DPT, PT
• Danielle Marie Gudmestad, MMS, PA-C
• Emil Guintu, PT
• John Joseph Gulino, LCSW
• Maya Gumirov, LPC
• Anita Gupta, MD
• Gabrielle Gurtz, MS, LCPC

• Addiction Medicine (Family Medicine) Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Addiction Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.