DINESH SHUKLA MD
NPI 1033102280
Psychiatry & Neurology - Neurology in Port Jefferson, NY
About Dinesh Shukla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DINESH SHUKLA MD (NPI 1033102280) is an individual neurology provider in Port Jefferson, New York, licensed in New York (141530) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dinesh Shukla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dinesh Shukla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dinesh Shukla's NPI number?
The NPI number for Dinesh Shukla is 1033102280. It was assigned to this individual provider in the NPPES registry on August 23, 2005.
Where is Dinesh Shukla located?
Dinesh Shukla practices at 625 Belle Terre Rd Suite 205, Port Jefferson, NY 11777. The listed phone number is (631) 331-0776.
What is Dinesh Shukla's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Dinesh Shukla enrolled in Medicare?
Yes. Dinesh Shukla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dinesh Shukla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dinesh Shukla reassigns Medicare benefits to Long Island Select Healthcare, Inc. (Port Jefferson Station, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dinesh Shukla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dinesh Shukla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dinesh Shukla, MD · NPI 1033102280
Neurology physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since August 23, 2005.
## Identity
- **NPI:** 1033102280 (Entity type: Individual)
- **Enumerated:** August 23, 2005
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 141530 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 625 BELLE TERRE RD, SUITE 205, Port Jefferson, NY 11777-2316
- **Phone:** (631) 331-0776 · **Fax:** (631) 473-4760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Long Island Select Healthcare, Inc. (NPI 1417300575, Port Jefferson Station, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 57A301; Medicaid 00720892 (NY); Medicare UPIN B16669
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Source: [NPI Profile](https://npiprofile.com/npi/1033102280) · Data from the CMS NPPES public registry.