Anil Shukla, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101247500 Issued in VA

Practice address

459 Locust Ave
Charlottesville, VA 22902

Phone

(434) 654-7150

Fax

(434) 982-7147

NPI assigned

Jun 23, 2008

Last updated

Oct 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashukla15878@direct.southcoast.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Southcoast Hospitals Group, Inc

  dba Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835

  Corporate Officer

  CMS ownership

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.

• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Emergency Medicine

  • Emergency Medical Services (Emergency Medicine) Physician
  • Boston, MA
  • NPI 1952358533
  Medicare reassignment NPD
• Bid-Milton Physician Associates Inc

  dba Beth Israel Lahey Health Urgent Care

  • Urgent Care Clinic/Center
  • Quincy, MA
  • NPI 1164060778
  Medicare reassignment NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438
  Medicare reassignment NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba Emergency Medicine - HMFP at BIDMC

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1316987993
  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba Associated Physicians of HMFP

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD
• Bid-Milton Physician Associates Inc

  • Multi-Specialty Clinic/Center
  • Quincy, MA
  • NPI 1710862420
  NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba HMFP - Urgent Care

  • Urgent Care Clinic/Center
  • Dedham, MA
  • NPI 1538774443
  NPD
• Martha Jefferson Hospital

  dba Sentara Endoscopy Center

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)
• Piedmont Emergency Consultants, PLC

  • Emergency Medicine Physician
  • Charlottesville, VA
  • NPI 1629022652
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1841451879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 LOCUST AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22902",
            "telephone_number": "434-654-7150",
            "fax_number": "434-982-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LOCUST AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22902",
            "telephone_number": "434-654-7150",
            "fax_number": "434-982-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101247500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Lefrak Showalter, M.D.
• Timothy N. Showalter, M.D.
• Roman Shrestha, MD
• Marwah Shuaib
• Jason Alexander Shugoll, MD
• Anya Dolly Shukla, MD
• Rhoda Shulaw, ACNP
• Marissa Shulruff
• Nathan R Shumaker, MD
• Nicole Shumaker

• Emergency Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.