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DR. SHALINI VERMA M.D.
NPI 1972720225
Internal Medicine - Nephrology in Wilmington, DE

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
2006 LIMESTONE RD, WILMINGTON, DE 19808(302) 355-2383(302) 351-6261 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2017, Feb 18, 2016 (2 updates tracked since 2016).

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

NPI1972720225
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SHALINI VERMACredential: M.D.
Location Address2006 LIMESTONE RDWilmington, DE 19808-5553
Mailing Address504 Harvest Grove TrailDover, DE 19901 · (302) 588-9199
Phone(302) 355-2383
Fax(302) 351-6261
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 3, 20172 updates tracked since enumeration
✔ NPI 1972720225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in MD · D0079923✔ Licensed in MO · 2014012872
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD-443728 (PA)
2006 LIMESTONE RD, Wilmington, DE 19808
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Other Names 1

Professional Name (2)Dr. Shalini Rawal Md

Other Identifiers 4

Medicare PIN317PMD
Medicaid369004100MD
Medicare PIN429146ZC56MD
Medicaid1972720255MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

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.

PECOS PAC ID6305019316
PECOS Enrollment IDI20170913000509
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 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.

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.
786 services320 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.
187 services183 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
170 services163 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.
130 services70 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.
64 services40 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.
50 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician 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.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$14.92 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier26 claims26 services$34.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier30 claims30 services$68.53 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,492 services$0.35 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers12 claims12 services$18.90 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims13 services$12.62 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 20

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

CHRISTINE MOSES CRNA
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
New Castle County (302) 995-1860
DR. DAVID L BLUMBERG M.D.
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
New Castle County (302) 995-1860
LISA M DIRENZO D.O.
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
New Castle County (302) 995-1860
DR. MICHAEL S. KATZ M.D.
Anesthesiology
2006 LIMESTONE RD, SUITE #5
WILMINGTON, DE 19808
New Castle County (302) 995-1860
TYNISHA N MORENO
Counselor (Addiction (Substance Use Disorder))
2006 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 526-6016
THOMAS F. BOERNER M.D.
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
New Castle County (302) 995-1860
NICHOLAS STUARDI CRNA
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
New Castle County (302) 995-1860
FRANK JACONO CRNA
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
New Castle County (302) 995-1860

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.

What insurance does Shalini Verma accept?

Health plans from 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 and Atlantic General Hospital.

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.