DR. SHISHIR KUMAR KHETAN (MD) – Internal Medicine Physician, NPI 1861497372

DR. SHISHIR KUMAR KHETAN (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME148198 (FL). The NPI Number for DR. SHISHIR KUMAR KHETAN (MD) is 1861497372

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHISHIR KUMAR KHETAN (MD)
NPI
1861497372
Phone
(301) 762-5020
Address
PO BOX 79632
Enumeration Date
21 June 2005
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2026860813
Graduation Year
2000 (26 years ago)
PAC ID
9335199017
Group Practice PAC ID
3274801139
Professional Enrollment ID
I20050131000471
Address ID
DC200164384WA4910XNWXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

5,245 INTERNAL MEDICINE in MD

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Provider Addresses for DR. SHISHIR KUMAR KHETAN (MD)

  • PO BOX 79632

    BALTIMORE, MD 212790632

    Phone: (301) 762-5020

    Fax: (301) 309-3783

    Type: Mailing

  • Seven Locks Road, Potomac Woods, Falls Orchard, Rockville, Montgomery County, Maryland, 20850-3827, United States

    STE 111

    ROCKVILLE, MD 208542957

    Phone: (301) 762-5020

    Fax: (301) 294-7569

    Type: Location

  • 6450 US Highway 1

    Rockledge, FL 329555747

    Phone: (321) 434-1512

    Fax: (321) 434-5485

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $11,715.

Total Amount is formed as General ($7,967) + Research ($3,748) + Ownership ($0) = $11,715.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($4,887).

Total Amount

$11,715

General + Research + Ownership

Payments

92

Total payment records

General Amount

$7,967

General payments

Research Amount

$3,748

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2024-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20050131000471IInternal MedicineDCTBD
I20200515000346IInternal MedicineTXTBD
I20200616001360IInternal MedicineGATBD
I20210202002064IInternal MedicineFLTBD
I20221116000615IInternal MedicineMTTBD
I20231113003277IInternal MedicineTNTBD
I20240610002136IInternal MedicineWATBD
I20240903004196IInternal MedicineOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes358206$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days25839$0
36415Insertion of needle into vein for collection of blood sample198136$0
80053Blood test, comprehensive group of blood chemicals183132$0
80061Blood test, lipids (cholesterol and triglycerides)174130$0
View full utilization report →

Insurance plans in this area (ZIP 21279)

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Provider's Procedures

DR. SHISHIR KUMAR KHETAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMD83036Hemoglobin A1C level12076
INTERNAL MEDICINEMD85610Blood test, clotting time4627
INTERNAL MEDICINEMD90670Pneumococcal vaccine for injection into muscle3030
INTERNAL MEDICINEMD94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1414

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: 3274801139View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
-MD
-MD
Physician AssistantMD
Internal MedicineMD
Internal MedicineDC
Nurse PractitionerMD
Nurse PractitionerMD
Family PracticeMD

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Frequently asked questions

What NPI should I save for DR. SHISHIR KUMAR KHETAN (MD)?
Save NPI 1861497372 if you need a stable reference for DR. SHISHIR KUMAR KHETAN (MD).
Is DR. SHISHIR KUMAR KHETAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. SHISHIR KUMAR KHETAN (MD)'s specialty in plain language?
Clinically, the directory lists DR. SHISHIR KUMAR KHETAN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. SHISHIR KUMAR KHETAN (MD) practice in Maryland?
You will see Baltimore, Maryland on file for DR. SHISHIR KUMAR KHETAN (MD) alongside any extra practice locations.
Is DR. SHISHIR KUMAR KHETAN (MD) a real provider?
This page reflects official NPPES data for NPI 1861497372. Always confirm identity and privileges with the practice and licensing boards.

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