Active NPI
Tarun Shetty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Washington DC, DC
National Provider Identifier
1538021357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MTL600211607
- Practice address
- 111 Michigan Avenue NW
Washington DC, DC 20010 - Phone
- (202) 650-2861
- NPI assigned
- Dec 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MTL600211607 | DC | Primary |
Addresses
Primary practice location
111 Michigan Avenue NW
Washington DC, DC 20010
Mailing address
40 Patterson St NE, Washington DC
Washington DC, DC 20002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL600211607 | DC | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1538021357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PATTERSON ST NE, WASHINGTON DC",
"city": "WASHINGTON DC",
"state": "DC",
"postal_code": "20002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVENUE NW",
"city": "WASHINGTON DC",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-650-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETTY",
"first_name": "TARUN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-01",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "DC",
"license": "MTL600211607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington DC, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.