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PRITHVI SHANKAR, M.D., INC
NPI 1750655429
Internal Medicine in Modesto, CA

Active since February 28, 2012CLIA 05D2032193 · Waiver
400 E ORANGEBURG AVE, STE 13, MODESTO, CA 95350(209) 578-1600(209) 578-1088 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prithvi Shankar, M.d., Inc NPPES

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

PRITHVI SHANKAR, M.D., INC (NPI 1750655429) is a healthcare organization registered as an internal medicine in Modesto, California and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Prithvi N Shankar, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1750655429
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRITHVI SHANKAR, M.D., INC
Location Address400 E ORANGEBURG AVE, STE 13Modesto, CA 95350-5342
Mailing AddressPo Box 579225Modesto, CA 95357-9225 · (209) 578-1600 · Fax (209) 578-1088
Phone(209) 578-1600
Fax(209) 578-1088
Organization SubpartNo
Authorized OfficialPrithvi N ShankarOwner/president · (209) 578-1600
Enumeration DateFebruary 28, 2012
Last NPPES UpdateOctober 15, 2012
✔ NPI 1750655429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A92177
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 E ORANGEBURG AVE, Modesto, CA 95350
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Other Identifiers 1

Medicare PINFX435ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prithvi Shankar, M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prithvi Shankar, M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Prithvi Shankar, MD
Internal Medicine
NPI 1790772838
400 E ORANGEBURG AVE STE 3
Modesto, CA 95350
(209) 578-1600
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2032193

Prithvi Shankar, MD, Inc. · Modesto, CA
Active · expires Nov 6, 2027
CLIA Number05D2032193
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorPrithvi Shankar
Laboratory Phone(209) 578-1600
Laboratory LocationPrithvi Shankar, MD, Inc.400 E Orangeburg Ste 3, Modesto, CA 95350
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prithvi Shankar, M.D., Inc's NPI number?

The NPI number for Prithvi Shankar, M.D., Inc is 1750655429. It was assigned to this organization in the NPPES registry on February 28, 2012.

Where is Prithvi Shankar, M.D., Inc located?

Prithvi Shankar, M.D., Inc is located at 400 E Orangeburg Ave Ste 13, Modesto, CA 95350. The listed phone number is (209) 578-1600.

What is Prithvi Shankar, M.D., Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prithvi Shankar, M.D., Inc enrolled in Medicare?

Yes. Prithvi Shankar, M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prithvi Shankar, M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prithvi Shankar, M.D., Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prithvi Shankar, M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2032193) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prithvi Shankar, M.D., Inc was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.