DR. SHANTI KAIMAL (BDS, MDS) – Dentist, NPI 1124385018

DR. SHANTI KAIMAL (BDS, MDS) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ORAL SURGERY, PAIN MANAGEMENT. They hold the professional credentials BDS, MDS. They hold a License No. FL37 (MN). The NPI Number for DR. SHANTI KAIMAL (BDS, MDS) is 1124385018

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANTI KAIMAL (BDS, MDS)
NPI
1124385018
Phone
(612) 625-2140
Address
515 DELAWARE ST SE
Enumeration Date
16 April 2012
Last Update Date
16 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126252495
Graduation Year
1993 (33 years ago)
PAC ID
0749446730
Group Practice PAC ID
7416856059
Professional Enrollment ID
I20120718000949
Address ID
MN554550357MI515XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

81 ORAL SURGERY in MN

Provider Addresses for DR. SHANTI KAIMAL (BDS, MDS)

  • 515 DELAWARE ST SE

    6-320 MOOS TOWER

    MINNEAPOLIS, MN 554550357

    Phone: (612) 625-2140

    Fax: (612) 626-0138

    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 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-01-19 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$33
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: 2012-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1043 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20120718000949IOral SurgeryMN2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes1913$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 7416856059View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. SHANTI KAIMAL (BDS, MDS)?
The federal identifier for DR. SHANTI KAIMAL (BDS, MDS) is NPI 1124385018.
Is DR. SHANTI KAIMAL (BDS, MDS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SHANTI KAIMAL (BDS, MDS) treat or focus on?
Patients typically see DR. SHANTI KAIMAL (BDS, MDS) under the specialty Dentist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SHANTI KAIMAL (BDS, MDS)?
The page summarizes Minneapolis, Minnesota for DR. SHANTI KAIMAL (BDS, MDS); expand the address list for detail.
How can I contact DR. SHANTI KAIMAL (BDS, MDS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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