Shalini Gough, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-0009157 Issued in DE

Practice address

119 Neurology Way
Milford, DE 19963

Phone

(302) 424-3900

Fax

(302) 424-8327

NPI assigned

Jun 20, 2007

Last updated

Apr 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shalini Prabhakara Former name

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gough.shalini.nwh@direct.partners.masshiway.net

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.

• Mass General Brigham Medical Group Suburban Massachusetts Inc

  • Family Medicine Physician
  • Newton, MA
  • NPI 1538191218
  Medicare reassignment NPD
• Newton Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1952845521
  NPD
• Barnes Family Practice

  • Family Medicine Physician
  • Milford, DE
  • NPI 1588618151
  NPD (past)
• Christiana Medical Group, PA

  • Hospitalist Physician
  • Newark, DE
  • NPI 1841231149
  NPD (past)
• Cnmri

  • Neurology Physician
  • Dover, DE
  • NPI 1861449498
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1902001753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NEUROLOGY WAY",
            "address_2": "P.O. BOX 337",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-424-3900",
            "fax_number": "302-424-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEUROLOGY WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-424-3900",
            "fax_number": "302-424-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "SHALINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0009157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALINI",
            "last_name": "PRABHAKARA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin I Golding, M.D.
• Edward Joel Goldstein, M.D.
• Melissa Gonzalez
• Anirudha Goparaju, M.D.
• Jayla Gorrell
• Grace Pesikey Inc.
• Nikki Rain Graden
• Reiesha D Graham, M.D. PHD
• Glenn E Graybeal, MD
• Judith Graybeal, RN

• Family Medicine Physician in Milford, DE
• Providers in Milford, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.

Verify at the official NPI Registry.