SHIRIN PILAKKA KANDAKKIL MD
NPI 1811514656
Family Medicine in Fond Du Lac, WI

Active since June 27, 2020PECOS EnrolledAccepts Medicare Assignment
1081 E JOHNSON ST, FOND DU LAC, WI 54935(920) 367-6700 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, May 24, 2023, Jun 27, 2020 (3 updates tracked since 2020).

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

NPI1811514656
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHIRIN PILAKKA KANDAKKILCredential: MD
Location Address1081 E JOHNSON STFond Du Lac, WI 54935-8919
Mailing Address1414 N Taylor DrSheboygan, WI 53081-3090 · (920) 476-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2020
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1811514656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81083-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1081 E JOHNSON ST, Fond Du Lac, WI 54935

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

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.

PECOS PAC ID4284096959
PECOS Enrollment IDI20230811001347
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services29 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.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1081 E JOHNSON ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
1081 E JOHNSON ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
1081 E JOHNSON ST
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.

What insurance does Shirin Pilakka Kandakkil accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health 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 and Holy Family Memorial.

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.