Shantanu Srinivasan Kidambi, MD
NPI 1356494405ActiveIndividual· Anesthesiology· Worcester, MA
Anesthesiology (MD) with Umass Memorial Medical Group Inc and 1 other group, practicing in Worcester, Massachusetts. Medicare paid $39,929 for services to 367 patients in 2024. Lists Umass Memorial Health - Harrington Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1356494405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 20, 2007 |
| Last updated in NPPES | Aug 5, 2024 |
| Certified by provider | Aug 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 226541 | MA |
| Anesthesiology | 207L00000X | 047523 | CT |
| Anesthesiology | 207L00000X | ME94938 | FL |
| Anesthesiology | 207L00000X | P4663 | TX |
| Anesthesiology | 207L00000X | 33123 | NH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (MA); Practitioner - Anesthesiology (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 367 |
|---|---|
| Services billed | 402 across 78 procedure codes |
| Paid by Medicare | $39,929 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical groups
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
- Precision Anesthesia Associates PCSouthbridge, MA · 13 clinicians
Hospital affiliations
- Umass Memorial Health - Harrington HospitalSouthbridge, MA
- Umass Memorial Medical Center/University CampusWorcester, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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