SANJANA CHETANA SHANMUKHAPPA MD
NPI 1346813805
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is Sanjana Chetana Shanmukhappa's NPI number?

The NPI number for Sanjana Chetana Shanmukhappa is 1346813805. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Q: What is Sanjana Chetana Shanmukhappa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 22, 2021PECOS Enrolled

1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7746(585) 723-7834 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sanjana Chetana Shanmukhappa Md NPPES

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

SANJANA CHETANA SHANMUKHAPPA MD (NPI 1346813805) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1346813805

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSANJANA CHETANA SHANMUKHAPPACredential: MD

Location Address1555 LONG POND RDRochester, NY 14626-4122

Mailing Address1555 Long Pond RdRochester, NY 14626-4122 · (585) 723-7746 · Fax (585) 723-7834

Phone(585) 723-7746

Fax(585) 723-7834

Sole ProprietorNo

Enumeration DateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1346813805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1555 LONG POND RD, Rochester, NY 14626

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Secondary Practice Location 1

Location 11561 Long Pond Rd Ste 206Rochester, NY 14626-4135 · Phone (585) 368-4800 · Fax (585) 368-4815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanjana Chetana Shanmukhappa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MACKENZIE R. PETTINELLA PA

Physician Assistant (Medical)

1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7870

FAROOQ CHAUDHARY MD

Student in an Organized Health Care Education/Training Program