Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003820762 Individual Practitioner Male Practitioner

Dr. Kishorkumar N Shukla , MD

Pediatrics • Orange City, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kishorkumar Shukla, MD is a registered healthcare professional specializing in Pediatrics in Orange City, FL. Practice services are available at 2501 S VOLUSIA AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2501 S Volusia Ave Ste 100
Unit A

Orange City, FL 327639134

Telephone 3867899000
Fax 3867759700

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Orange City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Orange City, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME0076361

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
255838600 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 2501 S VOLUSIA AVE STE 100, UNIT A, ORANGE CITY, FL 327639134 (Tel: 3867899000)

📍
Updated Business Mailing Address March 22, 2017

Registered at 2501 S VOLUSIA AVE STE 100, ORANGE CITY, FL 327639134 (Tel: 3867899000)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as KISHORKUMAR SHUKLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Pediatrics (License #ME0076361 in FL)

NPI Profile Active June 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2012

Registered at 2705 REBECCA LANE, UNIT A, ORANGE CITY, FL 327638336 (Tel: 3867899000)

📍
Updated Business Mailing Address June 20, 2012

Registered at 2705 REBECCA LN, UNIT A, ORANGE CITY, FL 327638332 (Tel: 3867899000)

👤
Provider Name / Credentials Updated June 20, 2012

Recorded as KISHORKUMAR SHUKLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2012

Pediatrics (License #ME0076361 in FL)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003820762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: March 22, 2017
Sole Proprietor: Yes

Mailing Address

2501 S Volusia Ave Ste 100

Orange City, FL 327639134

Phone: 3867899000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.