NPIMap

Individual provider Active NPI

Anjali Hemant Shukla, M.D

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1790006815
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101253446 Issued in VA
Practice address
5875 Bremo Rd
Suite 110
Richmond, VA 23226-1934
Phone
(804) 288-1040
Fax
(804) 288-2632
NPI assigned
Jun 14, 2010
Last updated
May 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116022228 VA
Family Medicine Physician 207Q00000X 0101253446 VA Primary

Addresses

Primary practice location

5875 Bremo Rd
Suite 110
Richmond, VA 23226-1934

Mailing address

5875 Bremo Rd
Suite 110
Richmond, VA 23226-1934
Phone (804) 288-1040

Other identifiers 1

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000302 VA Practitioner - Family Practice 2466695390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253446VAMDFamily Medicine Physician
0116022228VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Aug 1, 2013 Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Past Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Past Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Family Medicine Past Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Past Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Family Medicine Past Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Family Medicine Past Accepting new patients

Locations

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

5875 Bremo Rd
Ste 110
Richmond, VA 23226
Phone (804) 287-7929

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

9600 Patterson Ave
Richmond, VA 23229
Phone (804) 285-6818

Interoperability endpoints

  • Direct secure messaging: ashukla1155712@direct.bsmhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1790006815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-288-1040",
            "fax_number": "804-288-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-288-1040",
            "fax_number": "804-288-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "ANJALI",
        "middle_name": "HEMANT",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116022228",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.