RAKENDU PRAKASH SHUKLA (MD) – Radiation Oncology Physician, NPI 1316387137

RAKENDU PRAKASH SHUKLA (MD) is a healthcare provider. based in Hiram, Georgia. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 85977 (GA). The NPI Number for RAKENDU PRAKASH SHUKLA (MD) is 1316387137

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
RAKENDU PRAKASH SHUKLA (MD)
NPI
1316387137
Phone
(770) 505-3855
Address
148 BILL CARRUTH PKWY STE LL30
Enumeration Date
25 June 2013
Last Update Date
2 October 2020

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4707938585
Graduation Year
2015 (11 years ago)
PAC ID
9638487036
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20200713001784
Address ID
GA300601101MA677XXNEXX405
Telehealth
Yes

Contacts

Secure Messaging
rshukla380324@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

203 RADIATION ONCOLOGY in GA

Provider Addresses for RAKENDU PRAKASH SHUKLA (MD)

  • 148 BILL CARRUTH PKWY STE LL30

    HIRAM, GA 301413768

    Phone: (770) 505-3855

    Fax: (770) 443-6654

    Type: Location

  • 148 BILL CARRUTH PARKWAY SUITE LL30

    HIRAM, GA 30141

    Phone: (470) 644-8140

    Fax: (770) 443-6654

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $564.

Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Teleflex LLC ($129).

Total Amount

$564

General + Research + Ownership

Payments

19

Total payment records

General Amount

$564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200713001784IRadiation OncologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields64344$0
77427Radiation treatment management, 5 treatment sessions16445$0
77300Calculation of radiation therapy dose11433$0
99213Established patient office or other outpatient visit, 20-29 minutes7652$0
77334Design and construction of complex radiation treatment device5816$0
View full utilization report →

Insurance plans in this area (ZIP 30141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

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Frequently asked questions

What is RAKENDU PRAKASH SHUKLA (MD)'s NPI number?
RAKENDU PRAKASH SHUKLA (MD)'s NPI is 1316387137 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to RAKENDU PRAKASH SHUKLA (MD)?
You should see RAKENDU PRAKASH SHUKLA (MD) as active in CMS-hosted NPPES data.
What kind of doctor is RAKENDU PRAKASH SHUKLA (MD)?
RAKENDU PRAKASH SHUKLA (MD) is associated with Radiation Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RAKENDU PRAKASH SHUKLA (MD)?
Directory geography for RAKENDU PRAKASH SHUKLA (MD) centers on Hiram, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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