DR. SHASHI CHETAN MD
NPI 1417980434
Internal Medicine in Jacksonville, FL
About Dr. Shashi Chetan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHASHI CHETAN MD (NPI 1417980434) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME91712) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Southside, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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
Dr. Shashi Chetan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shashi Chetan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Panama City, FL 32401
- Reassigned Medicare billing, Florida enrollment
- 281 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Southside
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32207
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 Shashi Chetan's NPI number?
The NPI number for Shashi Chetan is 1417980434. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Shashi Chetan located?
Shashi Chetan practices at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville, FL 32207. The listed phone number is (904) 346-3649.
What is Shashi Chetan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shashi Chetan enrolled in Medicare?
Yes. Shashi Chetan 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 organizations bill Medicare for Shashi Chetan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shashi Chetan reassigns Medicare benefits to 2 organizations: Hni Medical Services Of Florida, LLC (Jacksonville, FL) and Hni Hospital Services Of Florida, LLC (Panama City, FL). Each 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 Shashi Chetan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shashi Chetan accept?
Health plans from Taro Health list Shashi Chetan 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.
Is Shashi Chetan affiliated with any hospitals?
According to CMS data, Shashi Chetan is affiliated with Ascension St Vincent's Southside.
When was this NPI record last updated?
The NPPES record for Shashi Chetan was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Shashi Chetan, MD · NPI 1417980434
Internal Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1417980434 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME91712 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 820 PRUDENTIAL DR STE 304, CREDENTIALING DEPARTMENT, Jacksonville, FL 32207-8205
- **Phone:** (904) 346-3649 · **Fax:** (904) 348-5627
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hni Medical Services Of Florida, LLC (NPI 1679048284, Jacksonville, FL); Hni Hospital Services Of Florida, LLC (NPI 1144851411, Panama City, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 3, 2015
- **Other identifiers:** Medicaid 2711478-00 (FL); Other P00364691 (FL); Medicare UPIN H86174; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1417980434) · Data from the CMS NPPES public registry.