MR. KAUTILYA SHAURYA (M.D., M.B.A) – Dermatology Physician, NPI 1639598576
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for MR. KAUTILYA SHAURYA (M.D., M.B.A)
1611 NW 12th Ave
Central Building, Room 600D (R-60)
Miami, FL 331361005
Phone: (305) 585-1111
Fax: (305) 585-8137
Type: Location
217 HAVEMEYER ST FL 5
BROOKLYN, NY 11211
Phone: (212) 283-3000
Type: Location
153 E 88th St
New York, NY 101282270
Phone: (212) 283-3000
Type: Location
2701 QUEENS PLZ N FL 10
LONG ISLAND CITY, NY 111014022
Phone: (305) 585-1111
Fax: (305) 585-8137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 196 Open Payments records for all available years, with a total value of $5,888.
Total Amount is formed as General ($5,888) + Research ($0) + Ownership ($0) = $5,888.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($2,179).
Total Amount
$5,888
General + Research + Ownership
Payments
196
Total payment records
General Amount
$5,888
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $2,179 |
| Janssen Biotech, Inc. | $772 |
| ABBVIE INC. | $433 |
| PFIZER INC. | $383 |
| Novartis Pharmaceuticals Corporation | $237 |
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: 2020-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181001001396 | I | Dermatology | NY | TBD |
| I20200612000250 | I | Dermatology | FL | 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 | 168 | 95 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 151 | 34 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 76 | 47 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 68 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 28 | $0 |
Insurance plans in this area (ZIP 33136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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