SAMIR PRADEEP SHIRODKAR (MD) – Urology Physician, NPI 1679774459

SAMIR PRADEEP SHIRODKAR (MD) is a healthcare provider. based in The woodlands, Texas. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. N9644 (TX). The NPI Number for SAMIR PRADEEP SHIRODKAR (MD) is 1679774459

Main info

Male
20 Years Of Experience
Name
SAMIR PRADEEP SHIRODKAR (MD)
NPI
1679774459
Phone
(936) 441-1005
Address
9305 PINECROFT DR
Enumeration Date
30 May 2007
Last Update Date
13 July 2016

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9364411005
Graduation Year
2006 (20 years ago)
PAC ID
0244403178
Group Practice PAC ID
6305008624
Professional Enrollment ID
I20111109000304
Address ID
TX773042975CO1020XCTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

861 UROLOGY in TX

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Provider Addresses for SAMIR PRADEEP SHIRODKAR (MD)

  • 9305, Pinecroft Drive, The Woodlands Mall, Shenandoah, Montgomery County, Texas, 77380, United States

    SUITE 104

    THE WOODLANDS, TX 773803482

    Phone: (936) 441-1005

    Fax: (936) 521-1138

    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 6 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: COLOPLAST CORP ($101).

Total Amount

$256

General + Research + Ownership

Payments

6

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2011-11-09

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
I20111109000304IUrologyTXTBD

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
J1071Injection, testosterone cypionate, 1 mg435,600128$0
87150Identification of organisms by genetic analysis, amplified probe technique35,8321,110$0
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique8,9551,109$0
87481Detection test for candida species (yeast), amplified probe technique5,9681,108$0
87798Detection test by nucleic acid for organism, amplified probe technique5,9681,108$0
View full utilization report →

Insurance plans in this area (ZIP 77380)

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Provider's Procedures

SAMIR PRADEEP SHIRODKAR (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYTX76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle4545

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: 6305008624View full group profile
NameSpecialtyState
U R O L O G YTX
U R O L O G YTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for SAMIR PRADEEP SHIRODKAR (MD)?
The registry entry for SAMIR PRADEEP SHIRODKAR (MD) shows NPI 1679774459.
Should I treat SAMIR PRADEEP SHIRODKAR (MD) as an active provider?
Patients and plans typically see SAMIR PRADEEP SHIRODKAR (MD) as active in the national extract.
How should patients interpret SAMIR PRADEEP SHIRODKAR (MD)'s specialty?
The extract shows Urology Physician for SAMIR PRADEEP SHIRODKAR (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to SAMIR PRADEEP SHIRODKAR (MD)?
SAMIR PRADEEP SHIRODKAR (MD) shows a connection to The Woodlands, Texas in registry-derived data.
Why is information missing for SAMIR PRADEEP SHIRODKAR (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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