Active NPI
Tirunellai Ranganathan Shankar, MD
- Surgery Physician
- Skowhegan, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD17663
- Practice address
- 46 Fairview Ave Ste 223
Skowhegan, ME 04976-1481 - Phone
- (207) 474-7045
- Fax
- (207) 474-5173
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD17663 | ME | Primary |
Addresses
Primary practice location
46 Fairview Ave Ste 223
Skowhegan, ME 04976-1481
Mailing address
PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 474-7045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780700856 | Medicaid | ME | |
| 000468201 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nevada School of Medicine
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
46 Fairview Ave
Suite 223
Skowhegan, ME 04976-1481
Phone (207) 474-7045
Hospital & facility affiliations
- Redington Fairview General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Current | Accepting new patients |
Locations
46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293
46 Fairview Ave
Ste 113
Skowhegan, ME 04976
Phone (207) 474-3697
46 Fairview Ave
Ste 223
Skowhegan, ME 04976
Phone (207) 474-7045
Interoperability endpoints
- tirunellai.shankar@rgs.direct.rfgh.net
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
- Rural Health Clinic/Center
- Madison, ME
- NPI 1851423008
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1780700856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049760468",
"telephone_number": "207-474-7045",
"fax_number": "207-474-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 FAIRVIEW AVE STE 223",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761481",
"telephone_number": "207-474-7045",
"fax_number": "207-474-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKAR",
"first_name": "TIRUNELLAI",
"middle_name": "RANGANATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD17663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780700856",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000468201",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.