SUDHAKAR SHETTY (MD) – Psychiatry Physician, NPI 1104858026

SUDHAKAR SHETTY (MD) is a healthcare provider. based in Norwalk, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 037502 (CT). The NPI Number for SUDHAKAR SHETTY (MD) is 1104858026

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
SUDHAKAR SHETTY (MD)
NPI
1104858026
Phone
(203) 656-1452
Address
71 EAST AVE
Enumeration Date
7 July 2006
Last Update Date
17 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606775570
Graduation Year
1992 (34 years ago)
PAC ID
8224137716
Group Practice PAC ID
0345130563
Professional Enrollment ID
I20070625000380
Address ID
CT060321953FA270XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for SUDHAKAR SHETTY (MD)

  • 71, East Avenue, Norwalk, Fairfield County, Connecticut, 06851, United States

    SUITE V

    NORWALK, CT 068514903

    Phone: (203) 656-1452

    Fax: (203) 656-1485

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$142

General + Research + Ownership

Payments

2

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070625000380IPsychiatryCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90792Psychiatric diagnostic evaluation with medical services155155$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14690$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes7153$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 06851)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345130563View full group profile
NameSpecialtyState
P S Y C H I A T R YCT
Nurse PractitionerCT
Clinical Social WorkerCT
-CT
Nurse PractitionerCT
Nurse PractitionerCT
Clinical Social WorkerCT
Clinical PsychologistCT
Clinical PsychologistCT
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

Is there an official ID for SUDHAKAR SHETTY (MD) in U.S. healthcare records?
The official identifier for SUDHAKAR SHETTY (MD) is NPI 1104858026.
Would SUDHAKAR SHETTY (MD) appear as active to a payer?
You can treat SUDHAKAR SHETTY (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SUDHAKAR SHETTY (MD)'s focus?
For SUDHAKAR SHETTY (MD), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is SUDHAKAR SHETTY (MD) associated with Norwalk?
Public fields place SUDHAKAR SHETTY (MD) around Norwalk, Connecticut. Always confirm the exact site before visiting.
Can I trust this NPI listing for SUDHAKAR SHETTY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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