DR. SHISHIR KUMAR KHETAN MD
NPI 1861497372
Internal Medicine in Rockville, MD

Q: What is Shishir Khetan's NPI number?

The NPI number for Shishir Khetan is 1861497372. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Shishir Khetan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shishir Khetan was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

1201 SEVEN LOCKS RD, STE 111, ROCKVILLE, MD 20854(301) 762-5020(301) 294-7569 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 13, 2024, Jan 29, 2021 (2 updates tracked since 2021).

On this page

About Dr. Shishir Kumar Khetan Md NPPES

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

DR. SHISHIR KUMAR KHETAN MD (NPI 1861497372) is an individual internal medicine provider in Rockville, Maryland, licensed in Connecticut (73702) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockledge, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1861497372

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHISHIR KUMAR KHETANCredential: MD

Location Address1201 SEVEN LOCKS RD, STE 111Rockville, MD 20854-2957

Mailing AddressPo Box 79632Baltimore, MD 21279-0632 · (301) 762-5020 · Fax (301) 309-3783

Phone(301) 762-5020

Fax(301) 294-7569

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 21, 2005

Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1861497372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CT · 73702✔ Licensed in FL · ME148198✔ Licensed in MD · D0061630

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.

1201 SEVEN LOCKS RD, Rockville, MD 20854

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Secondary Practice Location 1

Location 16450 US Highway 1Rockledge, FL 32955-5747 · Phone (321) 434-1512 · Fax (321) 434-5485

Other Identifiers 2

Medicaid416410500MD

OtherPENDINGFL · Medicare Hf

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Shishir Kumar Khetan 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 ID9335199017

PECOS Enrollment IDI20050131000471, I20200616001360, I20210202002064, I20231113003277

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

Medicare enrollment records show Shishir Khetan reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC

13 mi

Internal Medicine

950 N GLEBE RD, SUITE 4000
Arlington, VA 22203

Reassigned Medicare billing, District of Columbia enrollment
242 clinicians in this Medicare group

NPI 1164874426 (571) 366-8850

Privia Medical Group, LLC

13 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, District of Columbia enrollment
1,534 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

Oh Independent Medical Group LLC

320 mi

Family Medicine

3430 OHIO HEALTH PKWY
Columbus, OH 43202

Reassigned Medicare billing, Ohio enrollment
174 clinicians in this Medicare group

NPI 1497482111 (614) 566-0152

Privia Medical Group Of Georgia LLC

563 mi

Internal Medicine

101 YORKTOWN DR
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
759 clinicians in this Medicare group

NPI 1013313857 (770) 460-4285

Privia Medical Group Tennessee LLC

564 mi

Family Medicine

1 VANTAGE WAY STE C240
Nashville, TN 37228

Reassigned Medicare billing, Tennessee enrollment
173 clinicians in this Medicare group

NPI 1376110858 (571) 982-6636

Privia Medical Group Florida, LLC

781 mi

General Practice

140 6TH AVE
Indialantic, FL 32903

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Health First Privia Medical Group
329 clinicians in this Medicare group

NPI 1700649043 (321) 312-3501

Privia Medical Group Gulf Coast, PLLC

1,223 mi

Obstetrics & Gynecology

7900 FANNIN ST STE 4000
Houston, TX 77054

Reassigned Medicare billing, Texas enrollment
497 clinicians in this Medicare group

NPI 1578969465 (713) 512-7500

Privia Medical Group West Texas, PLLC

1,347 mi

Specialist

1665 ANTILLEY RD, # 200
Abilene, TX 79606

Reassigned Medicare billing, Texas enrollment
83 clinicians in this Medicare group

NPI 1346242567 (325) 793-5375

Great Falls Clinic LLC

1,799 mi

Multi-Specialty

3000 15TH AVE S
Great Falls, MT 59405

Reassigned Medicare billing, Montana enrollment
119 clinicians in this Medicare group

NPI 1801897780 (406) 454-2171

Privia Medical Group Arizona, LLC

1,916 mi

Family Medicine

111 W CEDAR LN STE A
Payson, AZ 85541

Reassigned Medicare billing, Arizona enrollment
99 clinicians in this Medicare group

NPI 1740459700 (602) 633-3780

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 33

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.

422 services216 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

226 services147 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

223 services24 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

202 services143 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

193 services142 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

178 services136 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

176 services137 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

153 services130 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

137 services110 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

127 services127 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

96 services96 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

84 services82 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

81 services77 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

57 services52 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

50 services41 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

50 services50 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

49 services49 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

47 services36 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

47 services36 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

44 services34 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

42 services38 patients

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.

41 services20 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

33 services12 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

32 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services21 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

23 services22 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

16 services16 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

13 services12 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

13 services12 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

13 services12 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

11 services11 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

11 services11 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20854 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%5,260 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

49%183 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%316 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

41%2,028 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%1,997 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

87%1,997 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

79%1,997 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers13 claims25 services$6.39 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers12 claims12 services$68.61 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$15.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. IRA LAWRENCE BERGER MD

Internal Medicine

1201 SEVEN LOCKS RD, STE 111
ROCKVILLE, MD 20854

Montgomery County (301) 762-5020

DR. ALEXANDER N. KINNAIRD M.D.

Internal Medicine

1201 SEVEN LOCKS RD, SUITE 200
ROCKVILLE, MD 20854

Montgomery County (301) 652-5771

ALLIED PHARMACEUTICAL SERVICES

Pharmacy (Mail Order Pharmacy)

1201 SEVEN LOCKS RD
ROCKVILLE, MD 20854

Montgomery County (301) 309-0999

DHC OF WASHINGTON, L.L.C.

Physiological Laboratory

1201 SEVEN LOCKS RD, SUITE 100
ROCKVILLE, MD 20854

Montgomery County (301) 424-1781

RAHUL Y. PATEL M.D.

Internal Medicine

1201 SEVEN LOCKS RD, SUITE 111
ROCKVILLE, MD 20854

Montgomery County (301) 762-5020

DR. TERRI NMN ESTEROWITZ MD

Internal Medicine

1201 SEVEN LOCKS RD, SUITE 111
ROCKVILLE, MD 20854

Montgomery County (301) 762-5020

DR. WILLIAM HENRY SILVERMAN MD

Internal Medicine

1201 SEVEN LOCKS RD, STE 111
ROCKVILLE, MD 20854

Montgomery County (301) 762-5020

DR. MARK NEAL LEVY D.P.M.

Podiatrist (Foot Surgery)

1201 SEVEN LOCKS RD, STE 202
ROCKVILLE, MD 20854

Montgomery County (301) 762-4636

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 Shishir Khetan's NPI number?

The NPI number for Shishir Khetan is 1861497372. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Shishir Khetan located?

Shishir Khetan practices at 1201 Seven Locks Rd Ste 111, Rockville, MD 20854. The listed phone number is (301) 762-5020.

What is Shishir Khetan's specialty?

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

Is Shishir Khetan enrolled in Medicare?

Yes. Shishir Khetan 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 Shishir Khetan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shishir Khetan reassigns Medicare benefits to 11 organizations: Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA), Oh Independent Medical Group LLC (Columbus, OH), Privia Medical Group Of Georgia LLC (Fayetteville, GA), Privia Medical Group Tennessee LLC (Nashville, TN) and 6 more organizations, listed in the Medicare section above. 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 Shishir Khetan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shishir Khetan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Baylor Scott and White Health Plan and 13 other insurers list Shishir Khetan 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.

When was this NPI record last updated?

The NPPES record for Shishir Khetan was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.