Nilima Vikram Shukla, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33303 Issued in NC

Practice address

1530 Union Rd Ste a
Gastonia, NC 28054-2201

Phone

(704) 867-6188

Fax

(704) 866-4437

NPI assigned

Oct 18, 2006

Last updated

May 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Nilima Daftary Shukla Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Psychiatric Services of Carolinas, P.C.Group PAC ID 7315040458, 7 clinicians

Foothills Consulting Associates LLCGroup PAC ID 4688765589, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nilima.shukla@foothillspsychshelby.direct.kno2fy.com

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.

• Psychiatric Services of Carolinas, P.C.

  • Specialist
  • Gastonia, NC
  • NPI 1710012174
  Medicare reassignment Care Compare group Authorized official
• Foothills Consulting Associates LLC

  • Psychiatry Physician
  • Shelby, NC
  • NPI 1770624637

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405

  Single Specialty

  Medicare reassignment NPD
• Phoenix Counseling Center

  • Community/Behavioral Health Agency
  • Lincolnton, NC
  • NPI 1396845004

  Single Specialty

  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Case Management Agency
  • Gastonia, NC
  • NPI 1164850525
  NPD
• Phoenix Counseling Center

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1548555873

  Single Specialty

  NPD
• Phoenix Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Lincolnton, NC
  • NPI 1902074768

  Single Specialty

  NPD
• Gaston-Lincoln-Cleveland Mental Health Substance Abuse DD

  dba Pathways MHDDSAS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gastonia, NC
  • NPI 1588633929

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1922189877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 E Marion St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281504982",
            "country_code": "US",
            "telephone_number": "704-480-1882",
            "fax_number": "704-480-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "NILIMA",
        "middle_name": "VIKRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "33303",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "33303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1088L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891088L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NILIMA",
            "last_name": "SHUKLA",
            "middle_name": "DAFTARY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Shope, RN
• Amy Parr Shortridge, FNP-C
• Matthew N Shortridge, CRNA
• Joseph Shotts, OTD, OTR/L
• Kellie Marie Shuford
• Vikram Rasiklal Shukla, M.D.
• Sarah Shumate, MA, CCC-SLP
• Yelena Shushlyakova, RN
• Carlos A Sicilia, M.D.
• Obukohwo Francis Sido, MD

• Psychiatry Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.