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DR. SHANTHI DEVARAJ M.D.
NPI 1063565844
Family Medicine in Stamford, CT

Active since January 18, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 07D0954296 · Waiver
1400 BEDFORD ST, STAMFORD, CT 06905(203) 323-8700(203) 323-1785 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shanthi Devaraj M.d. NPPES

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

DR. SHANTHI DEVARAJ M.D. (NPI 1063565844) is an individual family medicine provider in Stamford, Connecticut, licensed in Connecticut (036375) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 22, 2026, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1063565844
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANTHI DEVARAJCredential: M.D.
Location Address1400 BEDFORD STStamford, CT 06905-5200
Mailing Address1400 Bedford StStamford, CT 06905-5200 · (203) 323-8700 · Fax (203) 323-1785
Phone(203) 323-8700
Fax(203) 323-1785
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 14, 2010
✔ NPI 1063565844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 036375
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.
1400 BEDFORD ST, Stamford, CT 06905
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Other Identifiers 3

Medicare UPING58917CT
Medicaid001363754CT
Medicare ID-Type Unspecified080001275CT

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

Dr. Shanthi Devaraj M.d. 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 ID143413047
PECOS Enrollment IDI20101025000133
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0954296

Shanthi Devaraj MD LLC · Stamford, CT
Active · expires Nov 22, 2026
CLIA Number07D0954296
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorShanthi Devaraj MD
Laboratory Phone(203) 323-8700
Laboratory LocationShanthi Devaraj MD LLC1400 Bedford Street, Stamford, CT 06905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services47 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
43 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

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

LARISA BERMAN MS CCC-SLP
Speech-Language Pathologist
1400 BEDFORD ST, ST #2
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 569-3848
SHANTHI DEVARAJ, M.D., LLC
Family Medicine
1400 BEDFORD ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 323-8700

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 Shanthi Devaraj's NPI number?

The NPI number for Shanthi Devaraj is 1063565844. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Shanthi Devaraj located?

Shanthi Devaraj practices at 1400 Bedford St, Stamford, CT 06905. The listed phone number is (203) 323-8700.

What is Shanthi Devaraj's specialty?

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

Is Shanthi Devaraj enrolled in Medicare?

Yes. Shanthi Devaraj 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.

Does Shanthi Devaraj hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0954296) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shanthi Devaraj was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.