SHANTHI P SHAKAMURI (M.D.) – Colon & Rectal Surgery Physician, NPI 1174559371

SHANTHI P SHAKAMURI (M.D.) is a healthcare provider. based in Newark, Delaware. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. C10005860 (DE). The NPI Number for SHANTHI P SHAKAMURI (M.D.) is 1174559371

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SHANTHI P SHAKAMURI (M.D.)
NPI
1174559371
Phone
(302) 737-5444
Address
4745 OGLETOWN STANTON RD
Enumeration Date
23 June 2006
Last Update Date
3 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
6800847021
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20050204000622
Address ID
DE198032764WI1401XRDXX300
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

13 COLORECTAL SURGERY (PROCTOLOGY) in DE

Provider Addresses for SHANTHI P SHAKAMURI (M.D.)

  • 4745 OGLETOWN STANTON RD

    SUITE 216

    NEWARK, DE 197132067

    Phone: (302) 737-5444

    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 5 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Ethicon US, LLC ($80).

Total Amount

$133

General + Research + Ownership

Payments

5

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2005-02-04

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
I20050204000622IColorectal Surgery (Proctology)DETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7765$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4824$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4324$0
99212Established patient office or other outpatient visit, 10-19 minutes3736$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk3030$0
View full utilization report →

Insurance plans in this area (ZIP 19713)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHANTHI P SHAKAMURI (M.D.)?
SHANTHI P SHAKAMURI (M.D.) — NPI 1174559371 — is the standard way to identify this listing.
Is SHANTHI P SHAKAMURI (M.D.) listed as active for patients and plans?
The listing shows SHANTHI P SHAKAMURI (M.D.) as active in the NPI system.
What healthcare role does SHANTHI P SHAKAMURI (M.D.) hold?
Scheduling teams often label SHANTHI P SHAKAMURI (M.D.) under Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is SHANTHI P SHAKAMURI (M.D.) based?
SHANTHI P SHAKAMURI (M.D.) is tied to Newark, Delaware in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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