SHANTHARAM PAI M.D. NPI 1053317537

NPI Information

  • NPI: 1053317537
  • Provider Name: SHANTHARAM PAI, M.D.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 511 AMIGOS DR STE C
    REDLANDS, CA
    ZIP 92373
  • Phone: (909) 799-7111

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NPI Details

Shantharam Pai, M.D. is a geriatric medicine family medicine in Redlands, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Shantharam Pai, M.D. NPI is 1053317537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

511 AMIGOS DR STE C
REDLANDS, CA
ZIP 92373-283
Phone: (909) 799-7111
Fax: (909) 498-5154

The NPI 1053317537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)

The enumeration date for this NPI number is 6/21/2005 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineA442860CALIFORNIAYes
2207Q00000XFamily MedicineA442860CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A442860OTHERCALIFORNIABLUE SHIELD OF CA
2CA131554OTHERCALIFORNIAMEDICARE
300A442861MEDICAIDCALIFORNIA
4080101190OTHERGEORGIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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