Active NPI
Amitabh Shukla, M.D.
- Neurology Physician
- Richmond, TX
National Provider Identifier
1841398708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- H5969
- Practice address
- 1601 Main St
Suite#201
Richmond, TX 77469-3247 - Phone
- (281) 341-1500
- Fax
- (281) 341-1505
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | H5969 | TX | Primary |
Addresses
Primary practice location
1601 Main St
Suite#201
Richmond, TX 77469-3247
Mailing address
1601 Main St
Suite#201
Richmond, TX 77469-3247
Phone (281) 341-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027ET | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bsa Amarillo Diagnostic Clinic Inc | Current | Accepting new patients | |
| Southwest Surgical Associates LLP | Past | Accepting new patients |
Locations
6700 W 9th Ave
Amarillo, TX 79106
Phone (806) 358-0200
Interoperability endpoints
- ashukla@direct.uspi.com
- ashukla495765@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1134559826
-
- Specialist
- Houston, TX
- NPI 1477624757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841398708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MAIN ST",
"address_2": "SUITE#201",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693247",
"telephone_number": "281-341-1500",
"fax_number": "281-341-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MAIN ST",
"address_2": "SUITE#201",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693247",
"telephone_number": "281-341-1500",
"fax_number": "281-341-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "AMITABH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "H5969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0027ET",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.