DR. KAVITHA SHASHIKUMAR (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1497858435
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
674 INFECTIOUS DISEASE in TX
Provider Addresses for DR. KAVITHA SHASHIKUMAR (M.D.)
11803 SOUTH FREEWAY, SUITE 104
FORT WORTH, TX 761150000
Phone: (817) 551-7712
Fax: (817) 551-6262
Type: Location
1600 Vernon Rd Ste G
LaGrange, GA 302404143
Phone: (706) 803-8010
Type: Location
6528 SAUCON VALLEY DR
FORT WORTH, TX 761325452
Phone: (817) 819-4919
Type: Location
PO BOX 16387
FORT WORTH, TX 761620387
Phone: (817) 294-1408
Type: Mailing
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 $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($125).
Total Amount
$160
General + Research + Ownership
Payments
3
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Melinta Therapeutics, LLC | $125 |
| AstraZeneca Pharmaceuticals LP | $20 |
| Intercept Pharmaceuticals, Inc. | $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: 2025-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240313002810 | I | Infectious Disease | ND | TBD |
| I20240819001602 | I | Undersea And Hyperbaric Medicine | GA | TBD |
| I20250618000138 | I | Infectious Disease | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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