Individual provider Active NPI

Mangesh Shukla, MD

  • Gastroenterology Physician
  • Orlando, FL
National Provider Identifier
1881625333
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME126351 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
132107700MedicaidFL
009954105MedicaidAL

Other names 1

  • Mr. Mike Shukla Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000725 AL Practitioner - Gastroenterology 4284526328 Reassigns benefits to 1 organization
I20160420001407 FL Practitioner - Gastroenterology 4284526328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

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

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18418ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists, PC CurrentSince Aug 12, 2002 Accepting new patients
Health First Medical Group, LLC CurrentSince Jun 16, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 7, 2016 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 7, 2016 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Health First Medical Group, LLC Gastroenterology CurrentSince Jun 16, 2025 Accepting new patients
Vincentian Physician Services LLC Gastroenterology CurrentSince Jun 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.