DR. SHAN M NAGENDRA (M.D.) – Psychiatry Physician, NPI 1164533659

DR. SHAN M NAGENDRA (M.D.) is a healthcare provider. based in Clifton, New Jersey. specializing in NEUROLOGY, ANESTHESIOLOGY, INTERNAL MEDICINE, PAIN MANAGEMENT, INTERVENTIONAL PAIN MANAGEMENT, NEUROPSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 25MA03001300 (NJ). The NPI Number for DR. SHAN M NAGENDRA (M.D.) is 1164533659

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAN M NAGENDRA (M.D.)
NPI
1164533659
Phone
(862) 899-7531
Address
246 BARKLEY AVE
Enumeration Date
31 August 2006
Last Update Date
11 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9082334200
Graduation Year
1970 (56 years ago)
PAC ID
2062467442
Group Practice PAC ID
7719338771
Professional Enrollment ID
I20051122000007
Address ID
NJ070902190WE505XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

714 NEUROLOGY in NJ

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Provider Addresses for DR. SHAN M NAGENDRA (M.D.)

  • 246, Barkley Avenue, Clifton, Passaic County, New Jersey, 07011, United States

    CLIFTON, NJ 070113136

    Phone: (862) 899-7531

    Fax: (973) 685-7370

    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 4 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: PFIZER INC. ($38).

Total Amount

$78

General + Research + Ownership

Payments

4

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

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: 2005-11-22

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
I20050526000575INeurologyNYTBD
I20051122000007INeurologyNJTBD

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
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg9,16261$0
97530Therapy procedure using functional activities1,70698$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,70698$0
97032Application of electrical stimulation with therapist present, each 15 minutes1,70698$0
99213Established patient office or other outpatient visit, 20-29 minutes59173$0
View full utilization report →

Insurance plans in this area (ZIP 07011)

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Provider's Procedures

DR. SHAN M NAGENDRA (M.D.) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYNJ20610Aspiration and/or injection of large joint or joint capsule30372
NEUROLOGYNJ62311Injections of substances into lower or sacral spine4422
NEUROLOGYNJ64493Injections of lower or sacral spine facet joint using imaging guidance1511

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: 7719338771View full group profile
NameSpecialtyState
C H I R O P R A C T I CNJ

Reviews

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Frequently asked questions

What number should I use to identify DR. SHAN M NAGENDRA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1164533659 for DR. SHAN M NAGENDRA (M.D.).
Is DR. SHAN M NAGENDRA (M.D.)'s NPI status active today?
Active status means DR. SHAN M NAGENDRA (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. SHAN M NAGENDRA (M.D.)?
NPPES ties DR. SHAN M NAGENDRA (M.D.) to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHAN M NAGENDRA (M.D.)?
DR. SHAN M NAGENDRA (M.D.) is associated with Clifton, New Jersey in the same public data insurers reference.
Who maintains DR. SHAN M NAGENDRA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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