DR. SHANTHI MARIE COLACO M.D.
NPI 1144482167
Dermatology in Los Angeles, CA

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
2990 S SEPULVEDA BLVD, SUITE 300, LOS ANGELES, CA 90064(323) 421-4747(949) 955-7351 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, May 18, 2016, Jan 29, 2016 (3 updates tracked since 2016).

About Dr. Shanthi Marie Colaco M.d. NPPES

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

DR. SHANTHI MARIE COLACO M.D. (NPI 1144482167) is an individual dermatology provider in Los Angeles, California, licensed in California (A123314) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2007).

NPPES Registry Identity

NPI1144482167
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SHANTHI MARIE COLACOCredential: M.D.
Location Address2990 S SEPULVEDA BLVD, SUITE 300Los Angeles, CA 90064-0002
Mailing Address2990 S Sepulveda Blvd Ste 300Los Angeles, CA 90064-0002 · (323) 421-4747
Fax(949) 955-7351
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2007
Enumeration DateJune 30, 2008
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1144482167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A123314
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2990 S SEPULVEDA BLVD, Los Angeles, CA 90064

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 Marie Colaco 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 ID1355510710
PECOS Enrollment IDI20130115000302
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.

Areas of Expertise CMS Part B claims 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
186 services26 patients
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.
101 services60 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
67 services45 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
58 services35 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.
57 services42 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
36 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 16

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

Home Health
2990 S SEPULVEDA BLVD, SUITE 201
LOS ANGELES, CA 90064
Speech-Language Pathologist
2990 S SEPULVEDA BLVD, #308
LOS ANGELES, CA 90064
Dentist (Endodontics)
2990 S SEPULVEDA BLVD, #304
LOS ANGELES, CA 90064
Acupuncturist
2990 S SEPULVEDA BLVD, SUITE 205
LOS ANGELES, CA 90064
Dermatology
2990 S SEPULVEDA BLVD, SUITE 300
LOS ANGELES, CA 90064
Speech-Language Pathologist
2990 S SEPULVEDA BLVD, #308
LOS ANGELES, CA 90064
Acupuncturist
2990 S SEPULVEDA BLVD, SUITE 310
LOS ANGELES, CA 90064
Dentist (Endodontics)
2990 S SEPULVEDA BLVD, #304
LOS ANGELES, CA 90064

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 Colaco's NPI number?

The NPI number for Shanthi Colaco is 1144482167. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Shanthi Colaco located?

Shanthi Colaco practices at 2990 S Sepulveda Blvd Suite 300, Los Angeles, CA 90064. The listed phone number is (323) 421-4747.

What is Shanthi Colaco's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shanthi Colaco enrolled in Medicare?

Yes. Shanthi Colaco 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.

When was this NPI record last updated?

The NPPES record for Shanthi Colaco was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.