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SHANTHI DHADUVAI MD
NPI 1740448695
Internal Medicine - Rheumatology in Roanoke, VA

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
3 RIVERSIDE CIR, CARILION CLINIC, ROANOKE, VA 24016(540) 224-5170(540) 526-1099 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shanthi Dhaduvai Md NPPES

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

SHANTHI DHADUVAI MD (NPI 1740448695) is an individual rheumatology provider in Roanoke, Virginia, licensed in Virginia (0101-253490) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1740448695
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSHANTHI DHADUVAICredential: MD
Location Address3 RIVERSIDE CIR, CARILION CLINICRoanoke, VA 24016-4955
Mailing Address3 Riverside Cir, Carilion ClinicRoanoke, VA 24016-4955 · (540) 224-5170 · Fax (540) 526-1099
Phone(540) 224-5170
Fax(540) 526-1099
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 28, 2008
Last NPPES UpdateNovember 13, 2014
✔ NPI 1740448695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in VA · 0101-253490
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3 RIVERSIDE CIR, Roanoke, VA 24016
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Shanthi Dhaduvai 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 ID4082858774
PECOS Enrollment IDI20200729002160
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shanthi Dhaduvai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincents Ambulatory Care Inc
488 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Omni Healthcare, Inc.
633 mi
Specialist
1344 S APOLLO BLVD STE 406
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
NPI 1134191323 (321) 727-2990

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services77 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

DR. JED DAVID GONZALO M.D.
Internal Medicine
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KRISTIN MCCOY MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
MRS. MODUPE OLUWASEYI JOLAOSO WHITE FNP-C
Nurse Practitioner (Family)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KELLY KUGACH
Podiatrist (Foot & Ankle Surgery)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 510-6200
VISHAL B. GOHIL M.D.
Internal Medicine (Gastroenterology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
CARLOS MORA
Psychiatry & Neurology (Neurology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
DR. GUY KATZ MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
ASTRID BOTTY VAN DEN BRUELE M.D.
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170

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 Shanthi Dhaduvai's NPI number?

The NPI number for Shanthi Dhaduvai is 1740448695. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Shanthi Dhaduvai located?

Shanthi Dhaduvai practices at 3 Riverside Cir Carilion Clinic, Roanoke, VA 24016. The listed phone number is (540) 224-5170.

What is Shanthi Dhaduvai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shanthi Dhaduvai enrolled in Medicare?

Yes. Shanthi Dhaduvai 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 Shanthi Dhaduvai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanthi Dhaduvai reassigns Medicare benefits to 2 organizations: St Vincents Ambulatory Care Inc (Jacksonville, FL) and Omni Healthcare, Inc. (Melbourne, 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 Shanthi Dhaduvai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanthi Dhaduvai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of North Dakota and 7 other insurers list Shanthi Dhaduvai 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 Shanthi Dhaduvai affiliated with any hospitals?

According to CMS data, Shanthi Dhaduvai is affiliated with Shands Jacksonville, Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Shanthi Dhaduvai was last updated on November 13, 2014. 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.