PRASHANT ROHIT SHUKLA M.D.
NPI 1174509426
Internal Medicine in Aberdeen, MD

Q: What is Prashant Shukla's NPI number?

The NPI number for Prashant Shukla is 1174509426. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Prashant Shukla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prashant Shukla was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment

998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLC, ABERDEEN, MD 21001(410) 297-9500(410) 297-9016 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prashant Rohit Shukla M.d. NPPES

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

PRASHANT ROHIT SHUKLA M.D. (NPI 1174509426) is an individual internal medicine provider in Aberdeen, Maryland, licensed in Maryland (D48050) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Pennsylvania State University College Of Medicine (1993).

NPPES Registry Identity

NPI1174509426

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePRASHANT ROHIT SHUKLACredential: M.D.

Location Address998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLCAberdeen, MD 21001-1757

Mailing Address998 Hospitality Way, Suite 102, Bayside Internal Medicine, LlcAberdeen, MD 21001-1757 · (410) 297-9500 · Fax (410) 297-9016

Phone(410) 297-9500

Fax(410) 297-9016

Sole ProprietorYes

Medical School CMSPennsylvania State University College Of MedicineGraduated 1993

Enumeration DateDecember 19, 2005

Last NPPES UpdateJune 28, 2012

✔ NPI 1174509426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D48050

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.

998 HOSPITALITY WAY, SUITE 102, Aberdeen, MD 21001

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Other Identifiers 6

OtherG738-0001DC · Carefirst

Other54449804MD · Carefirst

Other489M734FMD · Medicare

Other110247432GA · Railroad Medicare

Other529802400MD · Medical Assistance

Medicare UPING33565MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prashant Rohit Shukla M.d. 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 ID6800089590

PECOS Enrollment IDI20101027000194

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.

Medicare Billing Reassignments

Medicare enrollment records show Prashant Shukla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC

28 mi

Internal Medicine

301 SAINT PAUL ST STE 409
Baltimore, MD 21202

Reassigned Medicare billing, Maryland enrollment
339 clinicians in this Medicare group

NPI 1730664012 (571) 366-8850

Privia Medical Group, LLC

67 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, Maryland enrollment
668 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

343 services222 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

336 services216 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

307 services192 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

291 services35 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

257 services257 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

157 services154 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

147 services145 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

99 services97 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

98 services96 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

74 services11 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

55 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

51 services45 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

42 services34 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

40 services32 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

38 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services33 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

26 services24 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

24 services20 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

20 services17 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

17 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services13 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210032

Location106 Bow StreetElkton, MD 21921 · Cecil County

Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210049

Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21001 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%6,044 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

87%404 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

56%825 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

69%2,160 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%2,160 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

54%2,160 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

32%2,160 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers87 claims241 services$6.40 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers35 claims46 services$1.03 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

2 suppliers15 claims60 services$4.77 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

2 suppliers11 claims197 services$4.25 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

4 suppliers16 claims322 services$2.78 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers13 claims13 services$36.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

BAYSIDE INTERNAL MEDICINE LLC

Internal Medicine

998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLC
ABERDEEN, MD 21001

Harford County (410) 297-9500

KAREN VIRGINIA JOHNSON C.R.N.P.

Nurse Practitioner (Family)

998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLC
ABERDEEN, MD 21001

Harford County (410) 297-9500

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 Prashant Shukla's NPI number?

The NPI number for Prashant Shukla is 1174509426. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Prashant Shukla located?

Prashant Shukla practices at 998 Hospitality Way, Suite 102 Bayside Internal Medicine, LLC, Aberdeen, MD 21001. The listed phone number is (410) 297-9500.

What is Prashant Shukla's specialty?

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

Is Prashant Shukla enrolled in Medicare?

Yes. Prashant 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.

Which organizations bill Medicare for Prashant Shukla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prashant Shukla reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Baltimore, MD) and Privia Medical Group, LLC (Arlington, VA). Each 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 Prashant Shukla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prashant Shukla accept?

Health plans from Oscar Health list Prashant Shukla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prashant Shukla affiliated with any hospitals?

According to CMS data, Prashant Shukla is affiliated with Union Hospital Of Cecil County and Umd Upper Chesapeake Medical Center.

When was this NPI record last updated?

The NPPES record for Prashant Shukla was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.