Individual provider Active NPI

Shila Ramakrishna, MD

  • Pediatrics Physician
  • Carlsbad, NM
National Provider Identifier
1902862832
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2003-0051 Issued in NM
Practice address
2013 San Jose Blvd
Carlsbad, NM 88220-5426
Phone
(575) 887-2455
Fax
(505) 443-8320
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2003-0051 NM Primary

Addresses

Primary practice location

2013 San Jose Blvd
Carlsbad, NM 88220-5426

Mailing address

2013 San Jose Blvd
Carlsbad, NM 88220-5426
Phone (575) 887-2455

Other identifiers 2

IdentifierTypeStateIssuer
93757069MedicaidNM
00NM00JD38OtherNMBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0051NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC CurrentSince Apr 1, 2025 Accepting new patients
Partners in Family Wellness, PLLC PastSince May 26, 2020 Accepting new patients

Locations

2402 W Pierce St
Ste 5B
Carlsbad, NM 88220
Phone (505) 885-0766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902862832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 SAN JOSE BLVD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205426",
            "telephone_number": "575-887-2455",
            "fax_number": "505-443-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 SAN JOSE BLVD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205426",
            "telephone_number": "575-887-2455",
            "fax_number": "505-443-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNA",
        "first_name": "SHILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "2003-0051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93757069",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM00JD38",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.