DR. SHANKAR KERALAPURA SRIDHARA MD
NPI 1932308467
Otolaryngology in Fort Gordon, GA
About Dr. Shankar Keralapura Sridhara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANKAR KERALAPURA SRIDHARA MD (NPI 1932308467) is an individual otolaryngology provider in Fort Gordon, Georgia, licensed in Virginia (0101245003) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
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. Shankar Keralapura Sridhara 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 Shankar Sridhara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30905 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
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 Shankar Sridhara's NPI number?
The NPI number for Shankar Sridhara is 1932308467. It was assigned to this individual provider in the NPPES registry on July 14, 2007.
Where is Shankar Sridhara located?
Shankar Sridhara practices at 300 Hospital Road Eent Clinic, Fort Gordon, GA 30905. The listed phone number is (706) 787-7822.
What is Shankar Sridhara's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Shankar Sridhara enrolled in Medicare?
Yes. Shankar Sridhara 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 Shankar Sridhara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shankar Sridhara reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). 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 Shankar Sridhara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shankar Sridhara was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Shankar Keralapura Sridhara, MD · NPI 1932308467
Otolaryngology physician in Fort Gordon, Georgia. Individual provider, active in the CMS NPPES registry since July 14, 2007.
## Identity
- **NPI:** 1932308467 (Entity type: Individual)
- **Enumerated:** July 14, 2007
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 0101245003 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 HOSPITAL ROAD, EENT CLINIC, Fort Gordon, GA 30905-5650
- **Phone:** (706) 787-7822 · **Fax:** (706) 787-2666
## 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:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** June 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1932308467) · Data from the CMS NPPES public registry.