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SHANTHI DEVARAJ, M.D., LLC
NPI 1871803650
Family Medicine in Stamford, CT

Active since October 14, 2010
1400 BEDFORD ST, STAMFORD, CT 06905(203) 323-8700(203) 323-1785 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shanthi Devaraj, M.d., Llc NPPES

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

SHANTHI DEVARAJ, M.D., LLC (NPI 1871803650) is a healthcare organization registered as a family medicine in Stamford, Connecticut and active in the NPI registry since October 2010. The organization lists Shanthi Devaraj, Member, as its authorized official.

NPPES Registry Identity

NPI1871803650
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANTHI DEVARAJ, M.D., LLC
Location Address1400 BEDFORD STStamford, CT 06905-5200
Mailing Address1400 Bedford StStamford, CT 06905-5200 · (203) 323-8700 · Fax (203) 323-1785
Phone(203) 323-8700
Fax(203) 323-1785
Organization SubpartNo
Authorized OfficialShanthi DevarajMember · (203) 323-8700
Enumeration DateOctober 14, 2010
✔ NPI 1871803650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 036375
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.
1400 BEDFORD ST, Stamford, CT 06905
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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)

Shanthi Devaraj, M.d., Llc 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 Shanthi Devaraj, M.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shanthi Devaraj, M.D.
Family Practice
NPI 1063565844
1400 BEDFORD ST
Stamford, CT 06905
(203) 323-8700
✔ PECOS✔ Accepts MedicareSame address

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

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 Shanthi Devaraj, M.D., LLC's NPI number?

The NPI number for Shanthi Devaraj, M.D., LLC is 1871803650. It was assigned to this organization in the NPPES registry on October 14, 2010.

Where is Shanthi Devaraj, M.D., LLC located?

Shanthi Devaraj, M.D., LLC is located at 1400 Bedford St, Stamford, CT 06905. The listed phone number is (203) 323-8700.

What is Shanthi Devaraj, M.D., LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shanthi Devaraj, M.D., LLC enrolled in Medicare?

Yes. Shanthi Devaraj, M.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shanthi Devaraj, M.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shanthi Devaraj, M.D., LLC. 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.

When was this NPI record last updated?

The NPPES record for Shanthi Devaraj, M.D., LLC was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.