SHANTHI CHODAGIRI
NPI 1659935104
Physician Assistant in Moorpark, CA

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
11529 TREEVIEW CT, MOORPARK, CA 93021(585) 615-5351 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 13, 2026, Apr 30, 2019 (2 updates tracked since 2019).

About Shanthi Chodagiri NPPES

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

SHANTHI CHODAGIRI (NPI 1659935104) is an individual physician assistant in Moorpark, California, licensed in California (PA57319) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2019).

NPPES Registry Identity

NPI1659935104
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANTHI CHODAGIRI
Location Address11529 TREEVIEW CTMoorpark, CA 93021-3734
Mailing Address11529 Treeview CtMoorpark, CA 93021-3734 · (585) 615-5351
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2019
Enumeration DateApril 30, 2019
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1659935104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA57319
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11529 TREEVIEW CT, Moorpark, CA 93021

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

Shanthi Chodagiri 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 ID9739508409
PECOS Enrollment IDI20260427000996
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93021 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659935104, enumerated as an "individual" on April 30, 2019.

The provider is located at 11529 TREEVIEW CT MOORPARK, CA 93021 and the phone number is (585) 615-5351.

Physician Assistant with taxonomy code 363A00000X.