PRITHVI NAMBALAT SHANKAR (MD) – Internal Medicine Physician, NPI 1790772838
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for PRITHVI NAMBALAT SHANKAR (MD)
400, East Orangeburg Avenue, Modesto, Stanislaus County, California, 95350, United States
STE 3
MODESTO, CA 953505342
Phone: (209) 578-1600
Fax: (209) 578-1088
Type: Location
PO BOX 579225
MODESTO, CA 953579225
Phone: (209) 578-1600
Fax: (209) 578-1088
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $1,837.
Total Amount is formed as General ($1,837) + Research ($0) + Ownership ($0) = $1,837.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($741).
Total Amount
$1,837
General + Research + Ownership
Payments
94
Total payment records
General Amount
$1,837
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $741 |
| PFIZER INC. | $335 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $228 |
| Lilly USA, LLC | $135 |
| Astellas Pharma US Inc | $75 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050811001144 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 449 | 145 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 247 | 119 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 129 | 129 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 128 | 128 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 125 | 125 | $0 |
Insurance plans in this area (ZIP 95350)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | CA | 83036 | Hemoglobin A1C level | 127 | 72 |
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