Active NPI
Vishal Shetty, MD
- Emergency Medicine Physician
- Dover, DE
National Provider Identifier
1720708829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C70018248
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 554-3300
- NPI assigned
- Aug 30, 2022
- Last updated
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 16375-I | PR | |
| Emergency Medicine Physician | 207P00000X | C70018248 | DE | Primary |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
5803 Calle Tartak Apt 906
Carolina, PR 00979-5603
Phone (917) 946-4049
Other practice location 1
Carr. 844
Rio Piedras, PR 00928
Phone (787) 653-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614000101 | DE | Order and Referring Only - Emergency Medicine | 6305204900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C70018248 | DE | MD | Emergency Medicine Physician |
| 16375-I | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1720708829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 CALLE TARTAK APT 906",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009795603",
"telephone_number": "917-946-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-554-3300"
}
],
"practiceLocations": [
{
"address_1": "Carr. 844",
"address_purpose": "LOCATION",
"city": "Rio Piedras",
"state": "PR",
"postal_code": "00928",
"country_code": "US",
"telephone_number": "787-653-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHETTY",
"first_name": "VISHAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2025-07-17",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "16375-I",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C70018248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.