DR. SHANTI JAMPANI (MD) – Child & Adolescent Psychiatry Physician, NPI 1174835433

DR. SHANTI JAMPANI (MD) is a healthcare provider. based in Reston, Virginia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 2018010171 (MO). The NPI Number for DR. SHANTI JAMPANI (MD) is 1174835433

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANTI JAMPANI (MD)
NPI
1174835433
Phone
Not provided
Address
1768 BUSINESS CENTER DR STE 100
Enumeration Date
2 July 2010
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448678444
Graduation Year
2002 (24 years ago)
PAC ID
2264866698
Group Practice PAC ID
3173613973
Professional Enrollment ID
I20230927002982
Address ID
CA956616453RO1731XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:15State licenses:3Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for DR. SHANTI JAMPANI (MD)

  • 1768 BUSINESS CENTER DR STE 100

    RESTON, VA 201905359

    Phone:

    Type: Mailing

  • 6175 NW 153RD ST STE 404

    MIAMI LAKES, FL 330142493

    Phone: (305) 558-7400

    Type: Location

  • 1731 E ROSEVILLE PKWY STE 290

    ROSEVILLE, CA 956616453

    Phone: (844) 867-8444

    Fax: (916) 836-3977

    Type: Mailing

  • 1300 E BRADFORD PKWY

    SPRINGFIELD, MO 658044264

    Phone: (417) 761-5000

    Fax: (417) 761-5111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,012.

Total Amount is formed as General ($1,012) + Research ($0) + Ownership ($0) = $1,012.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Tris Pharma Inc ($267).

Total Amount

$1,012

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,012

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-09-27

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
I20210312002134IPsychiatryWITBD
I20230927002982IPsychiatryCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 20190)

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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: 3173613973View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Psychiatry, Family PracticeCA
Nurse PractitionerNY
P S Y C H I A T R YTX
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Does DR. SHANTI JAMPANI (MD) have a public NPI I can cite?
Public records show DR. SHANTI JAMPANI (MD) under NPI 1174835433.
Does the public listing show DR. SHANTI JAMPANI (MD) as active?
DR. SHANTI JAMPANI (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. SHANTI JAMPANI (MD)'s specialty?
The extract shows Child & Adolescent Psychiatry Physician for DR. SHANTI JAMPANI (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHANTI JAMPANI (MD)?
DR. SHANTI JAMPANI (MD) is associated with Reston, Virginia in the same public data insurers reference.
Why is information missing for DR. SHANTI JAMPANI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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