Individual provider Active NPI

Shalini Verma, M.D.

  • Nephrology Physician
  • Wilmington, DE
National Provider Identifier
1972720225
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0079923 Issued in MD
Practice address
2006 Limestone Rd
Wilmington, DE 19808-5553
Phone
(302) 355-2383
Fax
(302) 351-6261
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-443728 PA
Nephrology Physician 207RN0300X 2014012872 MO
Nephrology Physician 207RN0300X D0079923 MD Primary

Addresses

Primary practice location

2006 Limestone Rd
Wilmington, DE 19808-5553

Mailing address

504 Harvest Grove Trail
Dover, DE 19901
Phone (302) 588-9199

Other identifiers 2

IdentifierTypeStateIssuer
1972720255MedicaidMO
369004100MedicaidMD

Other names 1

  • Dr. Shalini Rawal Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20170913000509 DE Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 6305019316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Apogee Medical Group Delaware IncGroup PAC ID 9638312572, 94 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

640 S State St
Dover, DE 19901-3530
Phone (302) 674-4700

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-443728PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Consultants PA Nephrology CurrentSince Sep 1, 2017 Accepting new patients
Apogee Medical Group, Delaware, Inc Internal Medicine CurrentSince Sep 26, 2017 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Mar 23, 2018 Accepting new patients
Tidalhealth Nanticoke, Inc Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
Kidney Care Specialists LLC Nephrology PastSince Mar 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

2006 Limestone Rd
Ste 7
Wilmington, DE 19808
Phone (302) 355-2383

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c97fd5e-8596-4941-825c-71277aadd345/

Organizations & group practices 7

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 7

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1972720225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HARVEST GROVE TRAIL",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-588-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-355-2383",
            "fax_number": "302-351-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-443728",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2014012872",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0079923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972720255",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369004100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALINI",
            "last_name": "RAWAL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.