Shivani Kondagunta, PA-C
NPI 1306735311 · Physician Assistant · Detroit, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivani Kondagunta, PA-C is a Physician Assistant provider in Detroit, MI (NPI 1306735311).
Provider details
- NPI number
- 1306735311
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601013554 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5300 Elliott DrYpsilanti, MI 48197-8632Phone: (734) 434-6262Fax: (734) 712-2820
Registry dates
- Enumerated
- 2025-07-02
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Shivani Kondagunta's NPI number?
- Shivani Kondagunta's National Provider Identifier (NPI) is 1306735311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivani Kondagunta's specialty?
- Shivani Kondagunta is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shivani Kondagunta located?
- Shivani Kondagunta's practice location on file with NPPES is 259 Mack Ave, Detroit, MI 48201-2427.
- What is Shivani Kondagunta's phone number?
- The practice phone number listed in the NPPES registry for Shivani Kondagunta is (313) 577-1716.
- Does Shivani Kondagunta accept Medicare?
- Shivani Kondagunta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivani Kondagunta's NPI active?
- Yes — Shivani Kondagunta's NPI (1306735311) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.