Active NPI
Mangesh Shukla, MD
- Gastroenterology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME126351
- Practice address
- 2415 N Orange Ave Ste 200
Orlando, FL 32804-5505 - Phone
- (407) 303-1812
- Fax
- (407) 303-1815
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 29, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 18418 | AL | |
| Gastroenterology Physician | 207RG0100X | ME126351 | FL | Primary |
Addresses
Primary practice location
2415 N Orange Ave Ste 200
Orlando, FL 32804-5505
Mailing address
2415 N Orange Ave Ste 200
Orlando, FL 32804-5505
Phone (407) 303-1812
Other practice location 1
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8078
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132107700 | Medicaid | FL | |
| 009954105 | Medicaid | AL |
Other names 1
- Mr. Mike Shukla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18418 | AL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialists, PC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Health First Medical Group, LLC | Gastroenterology | Current | Accepting new patients |
| Vincentian Physician Services LLC | Gastroenterology | Current | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
104 Physicians Dr
Ste A
Muscle Shoals, AL 35661
Phone (256) 246-3490
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
2415 N Orange Ave
Ste 200
Orlando, FL 32804
Phone (407) 303-1812
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
1600 Budinger Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 826-3006
Interoperability endpoints
- mshukla179045@orlandohealth.medalliesdirect.net
Organizations & group practices 9
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Gastroenterology
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
Gastroenterology
-
- Specialist
- Muscle Shoals, AL
- NPI 1003926056
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1881625333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N ORANGE AVE STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045505",
"telephone_number": "407-303-1812",
"fax_number": "407-303-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 N ORANGE AVE STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045505",
"telephone_number": "407-303-1812",
"fax_number": "407-303-1815"
}
],
"practiceLocations": [
{
"address_1": "1425 Malabar Rd NE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329072506",
"country_code": "US",
"telephone_number": "321-434-8078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUKLA",
"first_name": "MANGESH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "18418",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME126351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132107700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009954105",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "SHUKLA",
"prefix": "MR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.