Individual provider Active NPI

Shilpa Dhruva Tilwalli, M.D.

  • Neurology Physician
  • Santa Barbara, CA
National Provider Identifier
1639339641
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C55889 Issued in CA
Practice address
7402 Hollister Ave
Santa Barbara, CA 93117-2583
Phone
(703) 675-1375
Fax
(805) 456-1796
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 65080-20 WI
Neurology Physician 2084N0400X 036.118814 IL
Neurology Physician 2084N0400X 036118814 IL
Neurology Physician 2084N0400X 4301119417 MI
Neurology Physician 2084N0400X 25MA09457500 NJ
Neurology Physician 2084N0400X C55889 CA Primary

Addresses

Primary practice location

7402 Hollister Ave
Santa Barbara, CA 93117-2583

Mailing address

7402 Hollister Ave
Santa Barbara, CA 93117-2583
Phone (805) 562-8686

Other identifiers 4

IdentifierTypeStateIssuer
036118814OtherILPHYSICIAN LICENSE
336.080059OtherILCONTROLLED SUBSTANCE
4301119417OtherMIBOARD OF MEDICINE
C55889OtherCATHE MEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150901003484 CA Practitioner - Neurology 6608942735 Reassigns benefits to 7 organizations
I20200824001913 MI Practitioner - Neurology 6608942735 Reassigns benefits to 1 organization
I20220303002830 NJ Practitioner - Neurology 6608942735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

San Rafael, CA 94903
Phone (800) 782-8581

120 Mount Lassen Dr
San Rafael, CA 94903-1114
Phone (309) 308-9692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55889CAMDPharmacist
C55889CAMDNeurology Physician
036.118814ILMDNeurology Physician
25MA09457500NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Neurology CurrentSince Sep 1, 2020 Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2023 Accepting new patients
Dickinson County Healthcare System Neurology CurrentSince Feb 1, 2026 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince May 31, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Oct 20, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
Atlanticare Physician Group PA CurrentSince Dec 14, 2021 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince May 31, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Sep 1, 2020 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 14, 2021 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Oct 20, 2022 Accepting new patients
Center for Neurological Disorders S,C Neurology Past Accepting new patients
Rush University Medical Center Neurology Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients
Neurology, Clinical Neurophysiology, and Sleep Medicine, P.C. PastSince Apr 1, 2005 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1639339641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931172583",
            "telephone_number": "805-562-8686",
            "fax_number": "805-456-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931172583",
            "telephone_number": "703-675-1375",
            "fax_number": "805-456-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILWALLI",
        "first_name": "SHILPA",
        "middle_name": "DHRUVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "65080-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.118814",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036118814",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301119417",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09457500",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C55889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "036118814",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "336.080059",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE",
            "identifier": "4301119417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BOARD OF CALIFORNIA",
            "identifier": "C55889",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.