Active NPI
Shibu Dasappan Skaria, M.D.
- Pulmonary Disease Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 13483
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821170093 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Sovah Health Danville
- St Lukes Regional Medical Center
- Medstar Washington Hospital Center
- Marshall Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Veeone Medical Group PA | Internal Medicine | Current | Accepting new patients |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Carolinas Medical Center | Critical Care Medicine | Current | Accepting new patients |
| WHC Physician Group LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Veeone Medical Group II Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| North Carolina MG, LLC | Pulmonary Disease | Current | Accepting new patients |
| Danville Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| Scotland Regional Health Network | Internal Medicine | Current | Accepting new patients |
| Ccmma SC LLC | Critical Care Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | 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
- sskaria993257@direct.unc.nchie.net
- sskaria2712888@carolinashealthcaresystem.direct-ci.com
- sskaria254278@uihcdirect.org
- 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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Internal Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1043928443
MD
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1265156558
IA, MD, MI, NC
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Critical Care Medicine
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Audubon, IA
- NPI 1710951686
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.
- 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.