Prithvi Nambalat Shankar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A92177 Issued in CA

Practice address

400 E Orangeburg Ave
Ste 3
Modesto, CA 95350-5342

Phone

(209) 578-1600

Fax

(209) 578-1088

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency, Salida, CA, CCN 057695
• Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
• Memorial Medical Center Hospital, Modesto, CA, CCN 050557
• Doctors Medical Center Hospital, Modesto, CA, CCN 050464

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Prithvi Shankar, M.D., Inc

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1750655429
  Medicare reassignment Authorized official
• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Mariposa, CA
  • NPI 1891207684
  Medicare reassignment NPD
• Verdant Health Care, Inc.

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1720598097
  NPD Authorized official
• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Gustine, CA
  • NPI 1245105733
  NPD
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)
• Tremayne Shankar and Kennedy-Funtila a Professional Med

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1972813848
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Careone Home Health and Hospice, Inc.

  • Home Health Agency
  • Salida, CA
  • NPI 1972809838
  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  • Home Health Agency
  • Salida, CA
  • NPI 1972876506
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1790772838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579225",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953579225",
            "telephone_number": "209-578-1600",
            "fax_number": "209-578-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ORANGEBURG AVE",
            "address_2": "STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505342",
            "telephone_number": "209-578-1600",
            "fax_number": "209-578-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "PRITHVI",
        "middle_name": "NAMBALAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00266668",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shabnam Shahrestani, DO
• Jameel Michael Shahzada, MD
• Bilal Shaikh
• Shalom Clinical & Forensic Family Therapy Group, Inc. a Social Purpose Corporation
• Simon Shamass, MD
• Arpana Shanker, BCBA
• Shannon Easton-Carr, MD, Inc
• Vivig Shantha Kumar, MBBS
• Zahra Sharifi
• Ashleen Sharma

• Internal Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.

Verify at the official NPI Registry.