DR. SHASHANK SIDDHALINGAPPA SHETTAR (M.D.) – Anesthesiology Physician, NPI 1104171412
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,351 ANESTHESIOLOGY in FL
Provider Addresses for DR. SHASHANK SIDDHALINGAPPA SHETTAR (M.D.)
PO BOX 26901
OKLAHOMA CITY, OK 731260901
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Mailing
655 W 8th St
Jacksonville, FL 322096511
Phone: (904) 244-6950
Type: Location
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
920 STANTON L YOUNG BLVD # WP1140
OKLAHOMA CITY, OK 73104
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $775.
Total Amount is formed as General ($775) + Research ($0) + Ownership ($0) = $775.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Rivanna Medical, Inc ($760).
Total Amount
$775
General + Research + Ownership
Payments
3
Total payment records
General Amount
$775
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Rivanna Medical, Inc | $760 |
| Merck Sharp & Dohme LLC | $15 |
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: 2018-06-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20180627001621 | I | Anesthesiology | OK | 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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 18 | 18 | $0 |
Insurance plans in this area (ZIP 73126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | OK | |
| Orthopedic Surgery, Hand Surgery | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Hospitalist, Internal Medicine | OK | |
| Pediatric Medicine, Hematology/Oncology | VA | |
| Pulmonary Disease, Internal Medicine | OK | |
| Clinical Psychologist | OK | |
| Emergency Medicine | OK | |
| Critical Care (Intensivists), Pediatric Medicine | OK | |
| Endocrinology, Pediatric Medicine | OK |
Reviews
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