Prithvi Nambalat Shankar, MD - Medicare Internal Medicine in Modesto, CA

Prithvi Nambalat Shankar, MD is a medicare enrolled "Internal Medicine" physician in Modesto, California. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Community Health Centers Of America and his current practice location is 400 E Orangeburg Ave, Ste 3, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 578-1600.

Prithvi Nambalat Shankar is licensed to practice in California (license number A92177) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790772838.

Contact Information

Prithvi Nambalat Shankar, MD
400 E Orangeburg Ave, Ste 3,
Modesto, CA 95350-5342
(209) 578-1600
(209) 578-1088

Map and Direction




Physician's Profile

Full NamePrithvi Nambalat Shankar
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location400 E Orangeburg Ave, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prithvi Nambalat Shankar graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1790772838
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 01/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2961431614
  • Enrollment ID: I20050811001144

Medical Identifiers

Medical identifiers for Prithvi Nambalat Shankar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790772838NPI-NPPES
P00266668OtherCARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A92177 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emanuel Medical CenterTurlock, CAHospital
Doctors Medical CenterModesto, CAHospital
Memorial Medical CenterModesto, CAHospital
Covenant Village Care CenterTurlock, CANursing home

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Prithvi Nambalat Shankar allows following entities to bill medicare on his behalf.
Entity NamePrithvi Shankar, M.d., Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750655429
PECOS PAC ID: 4688834450
Enrollment ID: O20120402000428

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prithvi Nambalat Shankar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prithvi Nambalat Shankar, MD
Po Box 579225,
Modesto, CA 95357-9225

Ph: (209) 578-1600
Prithvi Nambalat Shankar, MD
400 E Orangeburg Ave, Ste 3,
Modesto, CA 95350-5342

Ph: (209) 578-1600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.