SHANTHAN PENDEM MD
NPI 1659425817
Internal Medicine - Critical Care Medicine in Braselton, GA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
1400 RIVER PL, BRASELTON, GA 30517(770) 848-8000(770) 848-8601 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2020, Mar 29, 2018 (2 updates tracked since 2018).

About Shanthan Pendem Md NPPES

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

SHANTHAN PENDEM MD (NPI 1659425817) is an individual critical care medicine provider in Braselton, Georgia, licensed in Georgia (68271) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1659425817
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSHANTHAN PENDEMCredential: MD
Location Address1400 RIVER PLBraselton, GA 30517-5600
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Fax(770) 848-8601
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 23, 2007
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
NPI 1659425817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in GA · 68271
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 9882 (ND)
1400 RIVER PL, Braselton, GA 30517

Other Identifiers 2

OtherP00256319ND · Rr Medicare
Medicaid13617ND

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shanthan Pendem 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 ID4789609975
PECOS Enrollment IDI20121115000278
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30517 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Gerontology)
1400 RIVER PL
BRASELTON, GA 30517
Pharmacist
1400 RIVER PL
BRASELTON, GA 30517
Surgery (Vascular Surgery)
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517
Pediatrics
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517

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 Shanthan Pendem's NPI number?

The NPI number for Shanthan Pendem is 1659425817. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Shanthan Pendem located?

Shanthan Pendem practices at 1400 River Pl, Braselton, GA 30517. The listed phone number is (770) 848-8000.

What is Shanthan Pendem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Shanthan Pendem enrolled in Medicare?

Yes. Shanthan Pendem 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.

What insurance does Shanthan Pendem accept?

Health plans from Alliant Health Plans, Inc. list Shanthan Pendem 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 Shanthan Pendem affiliated with any hospitals?

According to CMS data, Shanthan Pendem is affiliated with Piedmont Henry Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Shanthan Pendem was last updated on October 13, 2020. 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.