SHALINI KOPPISETTY MD
NPI 1497250401
Internal Medicine in Cheverly, MD
About Shalini Koppisetty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALINI KOPPISETTY MD (NPI 1497250401) is an individual internal medicine provider in Cheverly, Maryland, licensed in Michigan (4301504842) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Shalini Koppisetty 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
3Medicare enrollment records show Shalini Koppisetty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mason, MI 48854
- Reassigned Medicare billing, Michigan enrollment
- 916 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 104 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 115 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 4
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MISparrow Clinton Hospital
Critical Access Hospitals · Saint Johns, MISparrow Eaton Hospital
Critical Access Hospitals · Charlotte, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20785 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHEVERLY, MD 20785
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 Shalini Koppisetty's NPI number?
The NPI number for Shalini Koppisetty is 1497250401. It was assigned to this individual provider in the NPPES registry on March 30, 2018.
Where is Shalini Koppisetty located?
Shalini Koppisetty practices at 3001 Hospital Dr Fl 5, Cheverly, MD 20785. The listed phone number is (301) 618-3772.
What is Shalini Koppisetty's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shalini Koppisetty enrolled in Medicare?
Yes. Shalini Koppisetty 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 Shalini Koppisetty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Koppisetty reassigns Medicare benefits to 3 organizations: Edward W. Sparrow Hospital Association (Mason, MI), Sparrow Specialty Hospital (Lansing, MI) and Vituity - Michigan Hospitalists PC (Lansing, MI). 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 Shalini Koppisetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shalini Koppisetty accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shalini Koppisetty 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 Shalini Koppisetty affiliated with any hospitals?
According to CMS data, Shalini Koppisetty is affiliated with Edward W Sparrow Hospital, Sparrow Clinton Hospital and Sparrow Eaton Hospital.
When was this NPI record last updated?
The NPPES record for Shalini Koppisetty was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shalini Koppisetty, MD · NPI 1497250401
Internal Medicine physician in Cheverly, Maryland. Individual provider, active in the CMS NPPES registry since March 30, 2018.
## Identity
- **NPI:** 1497250401 (Entity type: Individual)
- **Enumerated:** March 30, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301504842 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 HOSPITAL DR FL 5, Cheverly, MD 20785-1189
- **Phone:** (301) 618-3772 · **Fax:** (301) 618-2986
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Edward W. Sparrow Hospital Association (NPI 1689683641, Mason, MI); Sparrow Specialty Hospital (NPI 1437655842, Lansing, MI); Vituity - Michigan Hospitalists PC (NPI 1487278156, Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497250401) · Data from the CMS NPPES public registry.