1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Internal Medicine
  6. NPI Profile

DR. PREM SHANKER SHUKLA MD
NPI 1053794891
Internal Medicine in Bangor, ME

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
489 STATE ST, BANGOR, ME 04401(732) 923-6540 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prem Shanker Shukla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PREM SHANKER SHUKLA MD (NPI 1053794891) is an individual internal medicine provider in Bangor, Maine, licensed in Maine (MD2206) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053794891
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PREM SHANKER SHUKLACredential: MD
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-6676
Phone(732) 923-6540
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 29, 2015
Last NPPES UpdateNovember 30, 2018
✔ NPI 1053794891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD2206
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
489 STATE ST, Bangor, ME 04401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prem Shanker Shukla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577810613
PECOS Enrollment IDI20220909002253
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
490 services252 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
313 services167 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
241 services237 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
97 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services79 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET ELIZABETH KASPER PA-C
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
DARA H KNAPP PA
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JAIME LEE NAUGHTON CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4519
YASMANI LEYVA ECHEVARRIA CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
KATE LUCILLE BLANCHARD PA-C
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
DR. JAMES W BERRY M.D.
Family Medicine
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JENNIFER LYNN MCKEON CRNP
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Penobscot County (207) 973-6670
DR. LEONARD C MONEKE MD
Hospitalist
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000

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 Prem Shukla's NPI number?

The NPI number for Prem Shukla is 1053794891. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Prem Shukla located?

Prem Shukla practices at 489 State St, Bangor, ME 04401. The listed phone number is (732) 923-6540.

What is Prem Shukla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prem Shukla enrolled in Medicare?

Yes. Prem Shukla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Prem Shukla affiliated with any hospitals?

According to CMS data, Prem Shukla is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Prem Shukla was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.