DR. SHALINI VERMA M.D.
NPI 1972720225
Internal Medicine - Nephrology in Wilmington, DE
About Dr. Shalini Verma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHALINI VERMA M.D. (NPI 1972720225) is an individual nephrology provider in Wilmington, Delaware, licensed in Maryland (D0079923) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
Accepted 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
Dr. Shalini Verma 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shalini Verma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19808
- Reassigned Medicare billing, Delaware enrollment
- 9 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 166 clinicians in this Medicare group
Seaford, DE 19973
- Reassigned Medicare billing, Delaware enrollment
- 179 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tidalhealth Peninsula Regional, Inc
Acute Care Hospitals · Salisbury, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WILMINGTON, DE 19808
WILMINGTON, DE 19808
WILMINGTON, DE 19808
WILMINGTON, DE 19808
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 Shalini Verma's NPI number?
The NPI number for Shalini Verma is 1972720225. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Dr. Shalini Rawal MD.
Where is Shalini Verma located?
Shalini Verma practices at 2006 Limestone Rd, Wilmington, DE 19808. The listed phone number is (302) 355-2383.
What is Shalini Verma's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Shalini Verma enrolled in Medicare?
Yes. Shalini Verma 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 Shalini Verma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Verma reassigns Medicare benefits to 3 organizations: Nephrology Consultants PA (Wilmington, DE), Apogee Medical Group, Delaware, Inc (Dover, DE) and Tidalhealth Physician Network, Inc. (Seaford, DE). 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 Shalini Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shalini Verma accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Shalini Verma 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 Shalini Verma affiliated with any hospitals?
According to CMS data, Shalini Verma is affiliated with Tidalhealth Peninsula Regional, Inc.
When was this NPI record last updated?
The NPPES record for Shalini Verma was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Shalini Verma, M.D. · NPI 1972720225
Nephrology physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1972720225 (Entity type: Individual)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** D0079923 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2006 LIMESTONE RD, Wilmington, DE 19808-5553
- **Phone:** (302) 355-2383 · **Fax:** (302) 351-6261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Nephrology Consultants PA (NPI 1356403539, Wilmington, DE); Apogee Medical Group, Delaware, Inc (NPI 1326485285, Dover, DE); Tidalhealth Physician Network, Inc. (NPI 1467534636, Seaford, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 3, 2017
- **Other identifiers:** Medicare PIN 317P (MD); Medicaid 369004100 (MD); Medicare PIN 429146ZC56 (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972720225) · Data from the CMS NPPES public registry.