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PRACHI SHUKLA DO
NPI 1215679899
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since April 12, 2022PECOS Enrolled
11885 E 12 MILE RD STE 300A, WARREN, MI 48093(586) 582-6630(586) 582-6631 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prachi Shukla Do NPPES

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

PRACHI SHUKLA DO (NPI 1215679899) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215679899
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRACHI SHUKLACredential: DO
Location Address11885 E 12 MILE RD STE 300AWarren, MI 48093-3467
Mailing Address11885 E 12 Mile Rd Ste 300aWarren, MI 48093-3467 · (586) 582-6630 · Fax (586) 582-6631
Phone(586) 582-6630
Fax(586) 582-6631
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1215679899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11885 E 12 MILE RD STE 300A, Warren, MI 48093
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prachi Shukla Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

RACHEL MARIE KOCH D.O.
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
JON WHITMAN MACKEY D.O.
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
JOHN CHILDERS
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
THALHA AFRIDI DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
MISS CATHERINE JANE RAYMOND DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
JENNIFER MARIE RATHOUSKY D.O.
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
DR. JUDY SHEFFEH MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
DR. KRISTINE ALEXIS NIXON DO
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630

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 Prachi Shukla's NPI number?

The NPI number for Prachi Shukla is 1215679899. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Prachi Shukla located?

Prachi Shukla practices at 11885 E 12 Mile Rd Ste 300A, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Prachi Shukla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Prachi Shukla enrolled in Medicare?

Yes. Prachi Shukla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prachi Shukla was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.