SHUBHANGI NANDKUMAR KESAVAN M.D.
NPI 1164799656
Obstetrics & Gynecology in Tracy, CA

Q: What is Shubhangi Kesavan's NPI number?

The NPI number for Shubhangi Kesavan is 1164799656. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Q: What is Shubhangi Kesavan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shubhangi Kesavan was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment

1407 N TRACY BLVD, TRACY, CA 95376(209) 830-4060 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shubhangi Nandkumar Kesavan M.d. NPPES

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

SHUBHANGI NANDKUMAR KESAVAN M.D. (NPI 1164799656) is an individual obstetrics & gynecology provider in Tracy, California, licensed in California (A125704) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164799656

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHUBHANGI NANDKUMAR KESAVANCredential: M.D.

Location Address1407 N TRACY BLVDTracy, CA 95376-3445

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097

Phone(209) 830-4060

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 28, 2011

Last NPPES UpdateDecember 17, 2021

✔ NPI 1164799656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A125704

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1407 N TRACY BLVD, Tracy, CA 95376

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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

Shubhangi Nandkumar Kesavan 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 ID8426291311

PECOS Enrollment IDI20221109002857

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 95376 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 2

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

VIVIAN R CEFALO NMW

Midwife

1407 N TRACY BLVD
TRACY, CA 95376

San Joaquin County (209) 524-1211

POONAMALEE E MALIKA MD

Obstetrics & Gynecology

1407 N TRACY BLVD
TRACY, CA 95376

San Joaquin County (209) 835-0100

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 Shubhangi Kesavan's NPI number?

The NPI number for Shubhangi Kesavan is 1164799656. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Shubhangi Kesavan located?

Shubhangi Kesavan practices at 1407 N Tracy Blvd, Tracy, CA 95376. The listed phone number is (209) 830-4060.

What is Shubhangi Kesavan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shubhangi Kesavan enrolled in Medicare?

Yes. Shubhangi Kesavan 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 Shubhangi Kesavan was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.