Shalu Maria Joseph, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD479484 Issued in PA

Practice address

838 Penn St
Reading, PA 19602-1108

Phone

(610) 988-4838

NPI assigned

Jun 1, 2020

Reactivated

Mar 14, 2022

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1649525569
  Medicare reassignment NPD
• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1649938283
  NPD
• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1770877581
  NPD (past)

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1700400298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PENN ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013527",
            "telephone_number": "610-988-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SHALU",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD479484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042323830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kali Jones
• Ricky Lee Jones, LPC
• Samantha Zulema Jones
• Tremayne Lamar Jones, LPC
• Darlene Joseph
• Sanjeev Joshi, DMD
• Journey to Thrive Counseling, LLC
• Accamma Joy, D.O.
• Thomas Joyce
• Jennifer L Jozefick, DO

• Pediatrics Physician in Reading, PA
• Providers in Reading, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.