DR. SHACHI PANDYA (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1164817334

DR. SHACHI PANDYA (M.D.) is a healthcare provider. based in Glasgow, Kentucky. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036148900 (IL). The NPI Number for DR. SHACHI PANDYA (M.D.) is 1164817334

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHACHI PANDYA (M.D.)
NPI
1164817334
Phone
(270) 651-4865
Address
1325 N Race St
Enumeration Date
3 April 2015
Last Update Date
15 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8452315600
Graduation Year
2013 (13 years ago)
PAC ID
1951619709
Group Practice PAC ID
9931013240
Professional Enrollment ID
I20230216001068
Address ID
NY125242281FI600XXDXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

92 SPORTS MEDICINE in KY

Provider Addresses for DR. SHACHI PANDYA (M.D.)

  • 1325 N Race St

    Glasgow, KY 421413454

    Phone: (270) 651-4865

    Type: Location

  • 18350 KEDZIE AVE STE 101

    HOMEWOOD, IL 604302758

    Phone: (708) 365-1055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-02-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191212001646IFamily PracticeILTBD
I20230216001068ISports MedicineNYTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12427$0
99213Established patient office or other outpatient visit, 20-29 minutes4939$0
99214Established patient office or other outpatient visit, 30-39 minutes4946$0
99204New patient office or other outpatient visit, 45-59 minutes4242$0
20610Aspiration and/or injection of fluid from large joint3728$0
View full utilization report →

Insurance plans in this area (ZIP 42141)

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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: 9931013240View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNY
Physician AssistantNY
Internal MedicineNY
-NY
Internal MedicineNY
O B S T E T R I C S/ G Y N E C O L O G YNY
Diagnostic RadiologyNY
-VA
-NY
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHACHI PANDYA (M.D.)?
DR. SHACHI PANDYA (M.D.) — NPI 1164817334 — is the standard way to identify this listing.
Does CMS list DR. SHACHI PANDYA (M.D.) as active?
Yes — DR. SHACHI PANDYA (M.D.) is active in the NPI listing used on this page.
What is DR. SHACHI PANDYA (M.D.) best known for clinically?
Directory data describes DR. SHACHI PANDYA (M.D.) with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHACHI PANDYA (M.D.)?
DR. SHACHI PANDYA (M.D.)'s geographic hint is Glasgow, Kentucky in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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