Individual provider Active NPI

Shilpa Renukuntla, MD

  • Otolaryngology Physician
  • Flemington, NJ
National Provider Identifier
1639334154
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA10165400 Issued in NJ
Practice address
6 Sand Hill Rd Ste 302
Flemington, NJ 08822-4946
Phone
(908) 788-9131
Fax
(908) 788-0945
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA10165400 NJ Primary

Addresses

Primary practice location

6 Sand Hill Rd Ste 302
Flemington, NJ 08822-4946

Mailing address

6 Sand Hill Rd Ste 302
Flemington, NJ 08822-4946

Other identifiers 2

IdentifierTypeStateIssuer
14N3POtherFLBLUE CROSS BLUE SHIELD
006699500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180627000683 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8426208265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Pittsburgh School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Otolaryngology AssociatesGroup PAC ID 9739158015, 15 clinicians

Practice addresses (Care Compare)

6 Sand Hill Rd
Suite 302
Flemington, NJ 08822-4946
Phone 9087889131209

Hospital & facility affiliations

  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as group
Quality
97.59
Promoting interoperability
95
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Otolaryngology Associates Otolaryngology CurrentSince Apr 9, 2018 Accepting new patients

Locations

6 Sand Hill Rd
Ste 302
Flemington, NJ 08822
Phone (908) 788-9131

Interoperability endpoints

  • Direct secure messaging: shilpa.renukuntla.p4@direct.hunterdon.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1639334154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 302",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 302",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-788-9131",
            "fax_number": "908-788-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENUKUNTLA",
        "first_name": "SHILPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA10165400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14N3P",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006699500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.