DR. SHASHIDHAR M SHETTAR M.D. NPI 1417998832
Psychiatry & Neurology - Psychiatry in Jackson, MS
About DR. SHASHIDHAR M SHETTAR M.D.
Shashidhar Shettar is a provider established in Jackson, Mississippi and his medical specialization is Psychiatry & Neurology with a focus in psychiatry . The healthcare provider is registered in the NPI registry with number 1417998832 assigned on June 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 16868 (MS). The provider is registered as an individual and his NPI record was last updated 11 years ago.
| NPI | 1417998832 |
| Provider Name | DR. SHASHIDHAR M SHETTAR M.D. |
| Location Address | 2500 N STATE ST JACKSON, MS 39216 |
| Location Phone | (601) 984-6925 |
| Mailing Address | 2500 N STATE ST JACKSON, MS 39216 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-09-2006 |
| Last Update Date | 06-13-2012 |
A psychiatrist like Shashidhar Shettar are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.Shashidhar Shettar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2084P0800X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Psychiatry |
| License No. | 16868 |
| License State | MS |
| Taxonomy Description | A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-6925
Fax: (601) 984-5842
Mailing Address
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-6925
Fax: (601) 984-5842
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2084S0012X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Sleep Medicine | 16868 | MS | No |
Taxonomy Description: a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. | |||||||
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 260045973 | OTHER (01) | MS | PALMETTO GBA-RAILROAD MED |
| E89223 | MEDICARE UPIN (02) | MS | |
| 00122383 | MEDICAID (05) | MS | |
| 512I260013 | MEDICARE PIN (08) | MS | |
| P00462322 | OTHER (01) | MS | RR MEDICARE PTAN |
| 260000491 | MEDICARE ID-TYPE UNSPECIFIED (04) | MS | |
| 302I265627 | MEDICARE PIN (08) | MS |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 9 | 9 | 8 | 8 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 18 | 9 | 16 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 8 + 9 + 1 + 6 + 8 + 6 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1417998832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477556231 | UNIVERSITY OPHTHALMOLOGY ASSOCIATES Organization | Ophthalmology | 2500 N STATE ST STE B329 JACKSON, MS 39216 (601) 815-3931 |
| 1770580961 | DR. BRIAN L CRABTREE PHARM.D. Individual | Pharmacist (Psychiatric) | 2500 N STATE ST JACKSON, MS 39216 (601) 351-8013 |
| 1649266164 | MR. LOUIS BUFORD YERGER JR. MD Individual | Orthopaedic Surgery | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5488 |
| 1699761064 | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Organization | Rehabilitation Unit | 2500 N STATE ST JACKSON, MS 39216 (866) 842-7574 |
| 1760453823 | DR. JEFFERY D CARRON MD Individual | Otolaryngology | 2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY JACKSON, MS 39216 (601) 984-5160 |
| 1164499109 | DR. BARRY SAUL RUBEL D.M.D. Individual | Dentist | 2500 N STATE ST JACKSON, MS 39216 (601) 984-6030 |
| 1689641649 | IRINA V BORISSOVA MD, PHD Individual | Anesthesiology (Pediatric Anesthesiology) | 2500 N STATE ST DEPT. OF ANESTHESIOLOGY JACKSON, MS 39216 (601) 984-5900 |
| 1215906573 | DR. TRACY MICHELLE DELLINGER D.D.S. Individual | Dentist | 2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY JACKSON, MS 39216 (601) 984-6028 |
| 1871544155 | DR. KATIE S MCCLENDON PHARM.D. Individual | Pharmacist | 2500 N STATE ST SCHOOL OF PHARMACY-OFFICE ANNEX JACKSON, MS 39216 (601) 984-2638 |
| 1639123078 | WILLIAM HUGH SOREY M.D. Individual | Pediatrics | 2500 N STATE ST JACKSON, MS 39216 (601) 815-8010 |
| 1003862707 | RAPHAEL CORCORAN SNEED M.D. Individual | Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-2940 |
| 1043267990 | DR. KEVIN DEL BEN PHD Individual | Psychologist (Clinical) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1346297090 | MS. VICKY DIANNE MINNINGER CFNP Individual | Nurse Practitioner | 2500 N STATE ST JACKSON, MS 39216 (601) 984-6525 |
| 1578510962 | DOMENIC P ESPOSITO M.D. Individual | Neurological Surgery | 2500 N STATE ST N703 NEUROSURGERY DEPARTMENT JACKSON, MS 39216 (601) 984-5706 |
| 1386681633 | DR. GRAYSON S NORQUIST M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1770521718 | MS. JUDITH ROSEMARY O'JILE PHD Individual | Clinical Neuropsychologist | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1730127390 | SAMUEL L. BARNETT M.D. Individual | Neurological Surgery | 2500 N STATE ST N703 NEUROSURGERY DEPARTMENT JACKSON, MS 39216 (601) 984-5706 |
| 1790723294 | MRS. JULIE A SCHUMACHER-COFFEY PHD Individual | Psychologist (Clinical) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1073551586 | DR. HANS-GEORG OTTO BOCK M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE JACKSON, MS 39216 (601) 984-1900 |
| 1518905124 | UNIVERSITY PATHOLOGY ASSOCIATES, PLLC Organization | Clinical Medical Laboratory | 2500 N STATE ST JACKSON, MS 39216 (601) 984-1530 |
Frequently Asked Questions
What is Dr. Shashidhar Shettar M.D. NPI number?
The NPI number assigned to this healthcare provider is 1417998832, enumerated in the NPI registry as an "individual" on June 09, 2006
Where is the provider located?
The provider is located at 2500 N State St Jackson, Ms 39216 and the phone number is (601) 984-6925
What is the provider specialty code?
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
What insurance does Dr. Shashidhar Shettar M.D. accept?
The provider might be accepting Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Shashidhar Shettar M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How do I update my NPI information?
This NPI record was last updated on June 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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