1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Family Medicine
  6. NPI Profile

SHAMOLI KHANDERIA DO
NPI 1043277395
Family Medicine in Ann Arbor, MI

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
207 FLETCHER ST, ANN ARBOR, MI 48109(734) 764-8320(734) 763-7505 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shamoli Khanderia Do NPPES

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

SHAMOLI KHANDERIA DO (NPI 1043277395) is an individual family medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101018559) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043277395
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHAMOLI KHANDERIACredential: DO
Location Address207 FLETCHER STAnn Arbor, MI 48109-1050
Mailing Address207 Fletcher StAnn Arbor, MI 48109-1050 · (734) 764-8320 · Fax (734) 763-7505
Phone(734) 764-8320
Fax(734) 763-7505
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 28, 2006
Last NPPES UpdateDecember 4, 2012
✔ NPI 1043277395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101018559
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

207 FLETCHER ST, Ann Arbor, MI 48109
Open in Google Maps ↗

Other Identifiers 4

Medicaid200871670IN
Medicare UPIN144503IL
Medicare PIN090540CCIN
OtherP00471980IN · Medicare - Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shamoli Khanderia Do 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 ID4587682042
PECOS Enrollment IDI20100817000895
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

SHARON A SMITH PT
Physical Therapist
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8349
MS. ROSEANN FRANCES DISHMAN P.T.
Physical Therapist
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8349
MRS. ROSANNE CROMPTON PHYSICAL THERAPIST
Physical Therapist
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8349
STACEY L GARCIA PT
Physical Therapist
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8349
MARIA PAP
Physical Therapy Assistant
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8349
MR. WILLIAM BRADFORD MOSHER PA-C
Physician Assistant (Medical)
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8330
MRS. CHRISTINE BIRMINGHAM
Registered Nurse
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8304
MS. EILEEN KATHRYN DICKINSON P.T.
Physical Therapist
207 FLETCHER ST
ANN ARBOR, MI 48109
Washtenaw County (734) 764-8349

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 Shamoli Khanderia's NPI number?

The NPI number for Shamoli Khanderia is 1043277395. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Shamoli Khanderia located?

Shamoli Khanderia practices at 207 Fletcher St, Ann Arbor, MI 48109. The listed phone number is (734) 764-8320.

What is Shamoli Khanderia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shamoli Khanderia enrolled in Medicare?

Yes. Shamoli Khanderia 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.

What insurance does Shamoli Khanderia accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shamoli Khanderia 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.

When was this NPI record last updated?

The NPPES record for Shamoli Khanderia was last updated on December 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.