DR. KSHAMATA SHALINI MD
NPI 1023099306
Internal Medicine in Weston, WI

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
3400 MINISTRY PKWY, WESTON, WI 54476(715) 393-3000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Dec 21, 2021, Nov 22, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Kshamata Shalini Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KSHAMATA SHALINI MD (NPI 1023099306) is an individual internal medicine provider in Weston, Wisconsin, licensed in Wisconsin (40875-20) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains a secondary practice location in Marinette.

NPPES Registry Identity

NPI1023099306
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KSHAMATA SHALINICredential: MD
Location Address3400 MINISTRY PKWYWeston, WI 54476-5220
Mailing Address3400 Ministry PkwyWeston, WI 54476-5220 · (715) 393-1000 · Fax (715) 393-1469
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 14, 2005
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1023099306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 40875-20✔ Licensed in GA · 04S962
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3400 MINISTRY PKWY, Weston, WI 54476

Secondary Practice Location 1

Location 13003 University DrMarinette, WI 54143-4110 · Phone (715) 735-4200

Other Identifiers 2

Other40875-20WI · Wi State Lic
Medicaid32592000WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kshamata Shalini Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840196036
PECOS Enrollment IDI20031209000630
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

11

Medicare enrollment records show Kshamata Shalini reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Clinic/Center
3400 MINISTRY PKWY
Weston, WI 54476
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
4005 COMMUNITY CENTER DR
Weston, WI 54476
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
Clinic/Center
215 N 28TH AVE
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
  • Also billed through NPI 1821151366 (Wisconsin)
  • 321 clinicians in this Medicare group
Podiatric
3200 WESTHILL DR STE 2200
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Aspirus Riverview Hospital & Clinics Inc
  • 397 clinicians in this Medicare group
Clinic/Center
1660 SUE ALAN DR
Wittenberg, WI 54499
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
Clinic/Center
209 PRENTICE STREET NORTH
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Critical Access
1120 PINE ST
Stanley, WI 54768
  • Reassigned Medicare billing, Wisconsin enrollment
  • 168 clinicians in this Medicare group
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
379 services171 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
226 services200 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
195 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
145 services140 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers34 claims34 services$18.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers34 claims34 services$95.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
3400 MINISTRY PKWY
WESTON, WI 54476
Internal Medicine
3400 MINISTRY PKWY
WESTON, WI 54476
Emergency Medicine
3400 MINISTRY PKWY
WESTON, WI 54476
Nurse Practitioner
3400 MINISTRY PKWY
WESTON, WI 54476
Orthopaedic Surgery
3400 MINISTRY PKWY
WESTON, WI 54476
Nurse Anesthetist, Certified Registered
3400 MINISTRY PKWY
WESTON, WI 54476
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3400 MINISTRY PKWY
WESTON, WI 54476
Internal Medicine (Pulmonary Disease)
3400 MINISTRY PKWY
WESTON, WI 54476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kshamata Shalini's NPI number?

The NPI number for Kshamata Shalini is 1023099306. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Kshamata Shalini located?

Kshamata Shalini practices at 3400 Ministry Pkwy, Weston, WI 54476. The listed phone number is (715) 393-3000.

What is Kshamata Shalini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kshamata Shalini enrolled in Medicare?

Yes. Kshamata Shalini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kshamata Shalini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kshamata Shalini reassigns Medicare benefits to 11 organizations: Mchs Hospitals Inc (Weston, WI), Aspirus Wausau Hospital Inc (Weston, WI), Langlade Memorial Hospital Hotel Dieu Of St Joseph (Wausau, WI), Aspirus Medical Group, Inc. (Wausau, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Wittenberg, WI) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kshamata Shalini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kshamata Shalini accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kshamata Shalini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kshamata Shalini affiliated with any hospitals?

According to CMS data, Kshamata Shalini is affiliated with Aspirus Wausau Hospital, Bay Area Medical Center, Aspirus Merrill Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Kshamata Shalini was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.