Individual provider Active NPI

Shilpa Rajashekar, MD

  • Family Medicine Physician
  • Avon, CT
National Provider Identifier
1912183187
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046836 Issued in CT
Practice address
54 W Avon Rd
Suite 101
Avon, CT 06001-3680
Phone
(860) 673-4534
Fax
(860) 675-8798
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 046836 CT Primary

Addresses

Primary practice location

54 W Avon Rd
Suite 101
Avon, CT 06001-3680

Mailing address

30 Jordan LN
Wethersfield, CT 06109-1278
Phone (860) 263-0253

Other identifiers 3

IdentifierTypeStateIssuer
9190239OtherCTAETNA
004236346MedicaidCT
8075427OtherCTCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20081202000806 CT Practitioner - Family Practice 1850452368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

21 S Rd
Farmington, CT 06032-2410
Phone (860) 284-5200

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046836CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family Medicine CurrentSince May 15, 2017 Accepting new patients
Prime Healthcare (Sleep Lab) Past Accepting new patients
Prime Healthcare, PC Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

599 Farmington Ave
Farmington, CT 06032
Phone (860) 284-4945

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

631 S Quaker Ln
West Hartfrd, CT 06110
Phone (860) 231-6130

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: shilpa.rajashekar.npi1912183187.phpct@direct.optumcare.masshiway.net

Organizations & group practices 3

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.

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1912183187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W AVON RD",
            "address_2": "SUITE 101",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013680",
            "telephone_number": "860-673-4534",
            "fax_number": "860-675-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJASHEKAR",
        "first_name": "SHILPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "046836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9190239",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236346",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8075427",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.