DR. SHISHIR KUMAR KHETAN (MD) – Internal Medicine Physician, NPI 1861497372
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $4,887 |
| SANOFI PASTEUR INC. | $3,771 |
| ModernaTX, Inc. | $2,396 |
| Amgen Inc. | $170 |
| Inspire Medical Systems, Inc. | $123 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050131000471 | I | Internal Medicine | DC | TBD |
| I20200515000346 | I | Internal Medicine | TX | TBD |
| I20200616001360 | I | Internal Medicine | GA | TBD |
| I20210202002064 | I | Internal Medicine | FL | TBD |
| I20221116000615 | I | Internal Medicine | MT | TBD |
| I20231113003277 | I | Internal Medicine | TN | TBD |
| I20240610002136 | I | Internal Medicine | WA | TBD |
| I20240903004196 | I | Internal Medicine | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 358 | 206 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 258 | 39 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 198 | 136 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 183 | 132 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 174 | 130 | $0 |
Insurance plans in this area (ZIP 21279)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MD | 83036 | Hemoglobin A1C level | 120 | 76 |
| INTERNAL MEDICINE | MD | 85610 | Blood test, clotting time | 46 | 27 |
| INTERNAL MEDICINE | MD | 90670 | Pneumococcal vaccine for injection into muscle | 30 | 30 |
| INTERNAL MEDICINE | MD | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 14 | 14 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| - | MD | |
| Physician Assistant | MD | |
| Internal Medicine | MD | |
| Internal Medicine | DC | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Family Practice | MD |
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