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SHEKHAR K GADKAREE MD
NPI 1245570910
Otolaryngology - Facial Plastic Surgery in Miami, FL

Active since February 18, 2013PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1120 NW 14TH ST BLDG 5, MIAMI, FL 33136(305) 243-3564 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2022, Sep 7, 2022, May 14, 2021 (3 updates tracked since 2021).

About Shekhar K Gadkaree Md NPPES

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

SHEKHAR K GADKAREE MD (NPI 1245570910) is an individual facial plastic surgery provider in Miami, Florida, licensed in Florida (ME158823) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Johns Hopkins University School Of Medicine (2016).

NPPES Registry Identity

NPI1245570910
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameSHEKHAR K GADKAREECredential: MD
Location Address1120 NW 14TH ST BLDG 5Miami, FL 33136-2107
Mailing Address1120 Nw 14th St Bldg 5Miami, FL 33136-2107
Phone(305) 243-3564
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2016
Enumeration DateFebruary 18, 2013
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1245570910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses✔ Licensed in FL · ME158823✔ Licensed in MN · 69172
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 69172 (MN)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 69172 (MN)
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 69172 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1120 NW 14TH ST BLDG 5, Miami, FL 33136
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 Phalen BlvdSaint Paul, MN 55130-5302 · Phone (651) 254-8550 · Fax (651) 254-8558
Location 2600 N Wolfe StBaltimore, MD 21287-2109 · Phone (410) 955-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Shekhar K Gadkaree 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 ID3870888407
PECOS Enrollment IDI20221007000581
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 Reassignment

Medicare enrollment records show Shekhar Gadkaree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Speech-Language Pathologist
1120 NW 14TH ST, 5TH FLOOR
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1457781163 (305) 243-3564

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 2

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.
26 services22 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
15 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%25 patients
Breast Cancer Screening
26%57 patients2/55-star benchmark: 93%
Cervical Cancer Screening
18%126 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
16%143 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
74%35 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%712 patients4/55-star benchmark: 100%
e-Prescribing
100%21 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%70 patients4/55-star benchmark: 100%
HIV Screening
21%294 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%338 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
92%333 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%549 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 168 patients
98%168 patients
Provide Patients Electronic Access to Their Health Information
100%140 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 11% · 74 patients
Patients totalRate: 11% · 74 patients
5%74 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Shekhar Gadkaree's NPI number?

The NPI number for Shekhar Gadkaree is 1245570910. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Shekhar Gadkaree located?

Shekhar Gadkaree practices at 1120 NW 14th St Bldg 5, Miami, FL 33136. The listed phone number is (305) 243-3564.

What is Shekhar Gadkaree's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Shekhar Gadkaree enrolled in Medicare?

Yes. Shekhar Gadkaree 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 organization bills Medicare for Shekhar Gadkaree's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shekhar Gadkaree reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Shekhar Gadkaree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shekhar Gadkaree accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Shekhar Gadkaree 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 Shekhar Gadkaree was last updated on September 15, 2022. 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.