Nikita Shetty, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A102024 Issued in CA

Practice address

10167 N Ponderosa Dr
Fresno, CA 93720-3418

Phone

(559) 433-3473

Fax

(559) 896-0400

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • St. Paul, MN
  • NPI 1225101405
  NPD (past)
• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, MN
  • NPI 1538037619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1225120892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10167 N PONDEROSA DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203418",
            "telephone_number": "559-433-3473",
            "fax_number": "559-896-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10167 N PONDEROSA DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203418",
            "telephone_number": "559-433-3473",
            "fax_number": "559-896-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "NIKITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46409",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358663400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ellen Sherman
• Kristy Sherman
• Malia Sherman, PSY.D
• Haley Sherritt
• Yusuf Ahmad Sherzad, MD
• Rakshand Shetty, MD
• Sheetal Kuckreja Shetty, MD
• Shield California Health Care Center Inc
• Shields Skilled Care LLC
• Jerod Shields

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.