HIMANSHU HARSHADRAY SHUKLA MD
NPI 1285627703
Internal Medicine - Clinical Cardiac Electrophysiology in Ocala, FL

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
10.7/100
CMS Quality Rating
1511 SW 1ST AVE, OCALA, FL 34471(352) 629-1378(352) 629-1406 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Himanshu Harshadray Shukla Md NPPES

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

HIMANSHU HARSHADRAY SHUKLA MD (NPI 1285627703) is an individual clinical cardiac electrophysiology provider in Ocala, Florida, licensed in Florida (ME169723) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285627703
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameHIMANSHU HARSHADRAY SHUKLACredential: MD
Location Address1511 SW 1ST AVEOcala, FL 34471-6505
Mailing Address14285 N Us Highway 441Citra, FL 32113-3643 · (602) 751-2358
Fax(352) 629-1406
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 30, 2005
Last NPPES UpdateMay 30, 20254 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1285627703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in FL · ME169723
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 33766 (AZ)
1511 SW 1ST AVE, Ocala, FL 34471

Other Identifiers 3

Medicaid941056AZ
OtherZ113435AZ · Medicare Ptan
Medicaid124536200FL

Accepted Insurance

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

Himanshu Harshadray 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 ID6305886649
PECOS Enrollment IDI20241018003418
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 52

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
2,803 services256 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
2,662 services245 patients
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.
2,222 services952 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.
1,667 services259 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,602 services258 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,569 services400 patients

Hospital Affiliations CMS Care Compare

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

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

10.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost35.68

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%11,776 patients4/55-star benchmark: 100%
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.
97%12,833 patients4/55-star benchmark: 99%
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.
90%2,815 patients3/55-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.
29%5,798 patients2/55-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…
97%5,798 patients4/55-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…
55%5,798 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 2,541 patients
0%2,541 patients5/55-star benchmark: 100%
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.
7%5,798 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.

Other Providers at the Same Location NPPES 16

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

Surgery (Vascular Surgery)
1511 SW 1ST AVE
OCALA, FL 34471
Physician Assistant (Surgical)
1511 SW 1ST AVE
OCALA, FL 34471
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1511 SW 1ST AVE
OCALA, FL 34471
Anesthesiology
1511 SW 1ST AVE
OCALA, FL 34471
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1511 SW 1ST AVE
OCALA, FL 34471
Anesthesiology
1511 SW 1ST AVE
OCALA, FL 34471
Physician Assistant
1511 SW 1ST AVE
OCALA, FL 34471
Registered Nurse
1511 SW 1ST AVE
OCALA, FL 34471

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 Himanshu Shukla's NPI number?

The NPI number for Himanshu Shukla is 1285627703. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Himanshu Shukla located?

Himanshu Shukla practices at 1511 SW 1st Ave, Ocala, FL 34471. The listed phone number is (352) 629-1378.

What is Himanshu Shukla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Himanshu Shukla enrolled in Medicare?

Yes. Himanshu 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.

What insurance does Himanshu Shukla accept?

Health plans from AvMed, Blue Cross Blue Shield of Arizona, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Imperial Insurance Companies, Inc. and 1 other insurer list Himanshu 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 Himanshu Shukla affiliated with any hospitals?

According to CMS data, Himanshu Shukla is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Himanshu Shukla was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.