Active NPI
Shilpa Dhruva Tilwalli, M.D.
- Neurology Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- C55889
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036118814 | Other | IL | PHYSICIAN LICENSE |
| 336.080059 | Other | IL | CONTROLLED SUBSTANCE |
| 4301119417 | Other | MI | BOARD OF MEDICINE |
| C55889 | Other | CA | THE MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55889 | CA | MD | Pharmacist |
| C55889 | CA | MD | Neurology Physician |
| 036.118814 | IL | MD | Neurology Physician |
| 25MA09457500 | NJ | MD | Neurology Physician |
Practice roles
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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
CA, Neurology
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
CA
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
CA
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
CA
-
- Internal Medicine Physician
- Green Bay, WI
- NPI 1689694911
CA
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.
- 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.