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SHYAM KANKOTIA MD
NPI 1821678616
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
1200 N STATE STREET CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shyam Kankotia Md NPPES

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

SHYAM KANKOTIA MD (NPI 1821678616) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2021).

NPPES Registry Identity

NPI1821678616
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHYAM KANKOTIACredential: MD
Location Address1200 N STATE STREET CLINIC TOWER, SUITE A7DLos Angeles, CA 90033
Mailing Address1200 N State Street Clinic Tower, Suite A7dLos Angeles, CA 90033
Phone(323) 409-7556
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedMarch 22, 2021
✔ NPI 1821678616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE STREET CLINIC TOWER, Los Angeles, CA 90033
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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

Shyam Kankotia 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 ID1456743210
PECOS Enrollment IDI20240904003385
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.

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.

LINDA HUANG
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
KSHEERAJA RAVI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
ROBERT STEPHEN IRELAND
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
ARI HAROUT NAZARIAN
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
REID GOODMAN
Internal Medicine (Infectious Disease)
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
JENNIFER DORCAS HWANG MD
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
PHILLIP ABARCA
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
IRENE CHANG
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556

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 Shyam Kankotia's NPI number?

The NPI number for Shyam Kankotia is 1821678616. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Shyam Kankotia located?

Shyam Kankotia practices at 1200 N State Street Clinic Tower Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

What is Shyam Kankotia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shyam Kankotia enrolled in Medicare?

Yes. Shyam Kankotia 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.

When was this NPI record last updated?

The NPPES record for Shyam Kankotia was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.