Individual provider Active NPI

Shibu Dasappan Skaria, M.D.

  • Pulmonary Disease Physician
  • Reno, NV
National Provider Identifier
1821170093
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13483 Issued in NV
Practice address
343 Elm St
Suite 402
Reno, NV 89503-4522
Phone
(775) 770-7640
Fax
(775) 770-7650
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2022-02521 NC
Internal Medicine Physician 207R00000X 13483 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 13483 NV
Pulmonary Disease Physician 207RP1001X 13483 NV Primary

Addresses

Primary practice location

343 Elm St
Suite 402
Reno, NV 89503-4522

Mailing address

343 Elm St
Suite 402
Reno, NV 89503-4522
Phone (775) 770-7640

Other practice location 1

2267 Lava Ridge Ct Ste 200
Roseville, CA 95661-4276
Phone (916) 492-6044

Other practice location 2

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-3100

Other identifiers 1

IdentifierTypeStateIssuer
1821170093MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sskaria993257@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, DC, CA, MD, IA, NC, MI, VA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20100827000446 NV Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 3173522182
I20200108002576 DC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3173522182 Reassigns benefits to 2 organizations
I20200514001408 CA Practitioner - Pulmonary Disease 3173522182 Reassigns benefits to 2 organizations
I20220217000902 MD Practitioner - Critical Care (Intensivists) 3173522182 Reassigns benefits to 2 organizations
I20221202001111 IA Practitioner - Critical Care (Intensivists) 3173522182 Reassigns benefits to 2 organizations
I20230518002015 NC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3173522182 Reassigns benefits to 4 organizations
I20230817002080 MI Practitioner - Critical Care (Intensivists) 3173522182 Reassigns benefits to 1 organization
I20250814002141 VA Practitioner - Critical Care (Intensivists) 3173522182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Veeone Medical Group PAGroup PAC ID 6800262437, 4 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Veeone Medical Group II Professional CorporationGroup PAC ID 8820468143, 7 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Northwest Iowa Hospital CorporationGroup PAC ID 0749198026, 139 clinicians
Scotland Regional Health NetworkGroup PAC ID 2365573185, 67 clinicians

Practice addresses (Care Compare)

Charlotte, NC 28202
Phone (916) 865-4668

Des Moines, IA 50309
Phone (916) 865-4668

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328

13876 Mill Creek CT
Clarksville, MD 21029-1040
Phone (916) 865-4668

159 Executive Dr
Suite F
Danville, VA 24541-4160
Phone (434) 792-4378

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 277-9164

Hospital & facility affiliations

  • Audubon County Memorial Hospital Hospital, Audubon, IA, CCN 161330
  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Hospital Corporation CurrentSince Dec 1, 2025 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Veeone Medical Group PA Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Danville Physician Practices LLC CurrentSince Aug 1, 2025 Accepting new patients
Carolinas Medical Center Critical Care Medicine CurrentSince Oct 1, 2023 Accepting new patients
WHC Physician Group LLC CurrentSince Dec 10, 2019 Accepting new patients
WHC Emerg Phys CurrentSince Dec 10, 2019 Accepting new patients
Veeone Medical Group II Professional Corporation Internal Medicine CurrentSince Nov 8, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Scotland Regional Health Network CurrentSince May 16, 2024 Accepting new patients
North Carolina MG, LLC Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Danville Physician Practices LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Scotland Regional Health Network Internal Medicine CurrentSince May 16, 2024 Accepting new patients
Ccmma SC LLC Critical Care Medicine CurrentSince Jul 1, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince May 1, 2020 Accepting new patients
Aminia Physicians Group PLLC Internal Medicine Past Accepting new patients

Locations

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

1420 E Roseville Pkwy
Ste 140
Roseville, CA 95661

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

699 Walnut St
Ste 400
Des Moines, IA 50309
Phone (515) 441-7944

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

11111 Katy Fwy
Ste 910
Houston, TX 77079
Phone (646) 687-4629

159 Executive Dr
Ste F
Danville, VA 24541
Phone (434) 792-4378

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Interoperability endpoints

  • Direct secure messaging: sskaria993257@direct.unc.nchie.net
  • Direct secure messaging: sskaria2712888@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: sskaria254278@uihcdirect.org
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 18

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 18

Hospital & facility affiliations 6

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1821170093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ELM ST",
            "address_2": "SUITE 402",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034522",
            "telephone_number": "775-770-7640",
            "fax_number": "775-770-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ELM ST",
            "address_2": "SUITE 402",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034522",
            "telephone_number": "775-770-7640",
            "fax_number": "775-770-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2267 Lava Ridge Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614276",
            "country_code": "US",
            "telephone_number": "916-492-6044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3100",
            "fax_number": "919-784-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKARIA",
        "first_name": "SHIBU",
        "middle_name": "DASAPPAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2022-02521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13483",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "13483",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "13483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821170093",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sskaria993257@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.