SHESHALI JAIKRISHAN WANCHOO (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1396124608

SHESHALI JAIKRISHAN WANCHOO (D.O.) is a healthcare provider. based in Fort worth, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. S7155 (TX). The NPI Number for SHESHALI JAIKRISHAN WANCHOO (D.O.) is 1396124608

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHESHALI JAIKRISHAN WANCHOO (D.O.)
NPI
1396124608
Phone
(817) 250-4280
Address
800 5TH AVE STE 500
Enumeration Date
20 May 2015
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7180066708
Graduation Year
2015 (11 years ago)
PAC ID
2769726348
Group Practice PAC ID
8527960533
Professional Enrollment ID
I20200615002206
Address ID
NY114150000KE120XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:11State licenses:3Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for SHESHALI JAIKRISHAN WANCHOO (D.O.)

  • 800 5TH AVE STE 500

    FORT WORTH, TX 761047304

    Phone: (817) 250-4280

    Fax: (817) 250-4281

    Type: Mailing

  • 800 WASHINGTON ST # 369

    BOSTON, MA 021111552

    Phone: (617) 636-6366

    Fax: (617) 636-6361

    Type: Mailing

  • 8900 VAN WYCK EXPY

    RICHMOND HILL, NY 114182897

    Phone: (718) 206-6057

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-15

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200615002206IInternal MedicineNYTBD

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
99291Critical care, first 30-74 minutes3323$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2921$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2816$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 8527960533View full group profile
NameSpecialtyState
Orthopedic Surgery, Hand SurgeryNY
-NY
Internal MedicineNY
Gastroenterology, Internal MedicineNY
Cardiovascular Disease (Cardiology), Internal MedicineNY
General SurgeryNY
Hematology/Oncology, Internal MedicineNY
Internal MedicineNY
Gynecological Oncology, Obstetrics/GynecologyNY
Internal MedicineWV

Reviews

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Frequently asked questions

Can I verify SHESHALI JAIKRISHAN WANCHOO (D.O.) with an NPI only?
You can start verification with NPI 1396124608 for SHESHALI JAIKRISHAN WANCHOO (D.O.), then check state licensing separately.
Does CMS list SHESHALI JAIKRISHAN WANCHOO (D.O.) as active?
Yes — SHESHALI JAIKRISHAN WANCHOO (D.O.) is active in the NPI listing used on this page.
What is SHESHALI JAIKRISHAN WANCHOO (D.O.)'s specialty?
The listing groups SHESHALI JAIKRISHAN WANCHOO (D.O.) with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SHESHALI JAIKRISHAN WANCHOO (D.O.)?
SHESHALI JAIKRISHAN WANCHOO (D.O.)'s geographic hint is Fort Worth, Texas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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