Shamoli Khanderia, DO - Medicare Family Practice in Ann Arbor, MI

Shamoli Khanderia, DO is a medicare enrolled "Family Medicine" physician in Ann Arbor, Michigan. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Regents Of The University Of Michigan-uhs-university Health Ser and her current practice location is 207 Fletcher St, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 764-8320.

Shamoli Khanderia is licensed to practice in Michigan (license number 5101018559) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043277395.

Contact Information

Shamoli Khanderia, DO
207 Fletcher St,
Ann Arbor, MI 48109-1050
(734) 764-8320
(734) 763-7505

Map and Direction




Physician's Profile

Full NameShamoli Khanderia
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location207 Fletcher St, Ann Arbor, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shamoli Khanderia graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1043277395
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 12/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4587682042
  • Enrollment ID: I20100817000895

Medical Identifiers

Medical identifiers for Shamoli Khanderia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043277395NPI-NPPES
200871670MedicaidIN
P00471980OtherINMEDICARE - RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101018559 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of Michigan-uhs-university Health Ser256736951529

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. Shamoli Khanderia allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of Michigan-uhs-university Health Ser
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265610570
PECOS PAC ID: 2567369515
Enrollment ID: O20031217000590

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. Shamoli Khanderia 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
Shamoli Khanderia, DO
207 Fletcher St,
Ann Arbor, MI 48109-1050

Ph: (734) 764-8320
Shamoli Khanderia, DO
207 Fletcher St,
Ann Arbor, MI 48109-1050

Ph: (734) 764-8320

Reviews and Comments


Family Medicine Doctors in Ann Arbor, MI

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Ms. Natasha Kristine Nguyen, M.D.
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Ms. Alicia J Cohen, MD
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Phone: 734-995-0303    Fax: 734-995-0425
Karl Thomas Rew, MD
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Practice Location: 24 Frank Lloyd Wright, Lobby H, Ann Arbor, MI 48105
Phone: 734-647-5640    
Dr. Noshir Yazdi Amaria, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 207 Fletcher St, Ann Arbor, MI 48109
Phone: 734-764-8320    

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.