SHIRIN PILAKKA KANDAKKIL MD
NPI 1811514656
Family Medicine in Fond Du Lac, WI
About Shirin Pilakka Kandakkil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRIN PILAKKA KANDAKKIL MD (NPI 1811514656) is an individual family medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (81083-20) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Shirin Pilakka Kandakkil 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 Reassignment
Medicare enrollment records show Shirin Pilakka Kandakkil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 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 2
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.
St. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIHoly Family Memorial
Acute Care Hospitals · Manitowoc, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54935 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOND DU LAC, WI 54935
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 Shirin Pilakka Kandakkil's NPI number?
The NPI number for Shirin Pilakka Kandakkil is 1811514656. It was assigned to this individual provider in the NPPES registry on June 27, 2020.
Where is Shirin Pilakka Kandakkil located?
Shirin Pilakka Kandakkil practices at 1081 E Johnson St, Fond Du Lac, WI 54935. The listed phone number is (920) 367-6700.
What is Shirin Pilakka Kandakkil's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shirin Pilakka Kandakkil enrolled in Medicare?
Yes. Shirin Pilakka Kandakkil 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 organization bills Medicare for Shirin Pilakka Kandakkil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirin Pilakka Kandakkil reassigns Medicare benefits to Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI). The 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 Shirin Pilakka Kandakkil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shirin Pilakka Kandakkil accept?
Health plans from Anthem Blue Cross and Blue Shield list Shirin Pilakka Kandakkil 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 Shirin Pilakka Kandakkil affiliated with any hospitals?
According to CMS data, Shirin Pilakka Kandakkil is affiliated with St. Agnes Hospital Hospice, Holy Family Memorial and Thedacare Regional Medical Center - Appleton Inc.
When was this NPI record last updated?
The NPPES record for Shirin Pilakka Kandakkil was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shirin Pilakka Kandakkil, MD · NPI 1811514656
Family Medicine physician in Fond Du Lac, Wisconsin. Individual provider, active in the CMS NPPES registry since June 27, 2020.
## Identity
- **NPI:** 1811514656 (Entity type: Individual)
- **Enumerated:** June 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 81083-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1081 E JOHNSON ST, Fond Du Lac, WI 54935-8919
- **Phone:** (920) 367-6700
## 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:** Froedtert Manitowoc Medical Group, LLC (NPI 1437829975, Manitowoc, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811514656) · Data from the CMS NPPES public registry.