Active NPI
Shila Ramakrishna, MD
- Pediatrics Physician
- Carlsbad, NM
National Provider Identifier
1902862832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2003-0051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93757069 | Medicaid | NM | |
| 00NM00JD38 | Other | NM | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003-0051 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Sinus Institute PLLC | Current | Accepting new patients | |
| Partners in Family Wellness, PLLC | Past | Accepting new patients |
Locations
2402 W Pierce St
Ste 5B
Carlsbad, NM 88220
Phone (505) 885-0766
Interoperability endpoints
- 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.
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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.