Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shishir Kumar Khetan, MD

Individual provider Internal Medicine Physician · NPI 1861497372

Dr. Shishir Kumar Khetan, MD is an Internal Medicine in Rockville, Maryland. Qualified in 2000, 26 years ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, Florida and Maryland.

Years since qualifying
26
Licensed in
CT, FL, MD
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 Seven Locks Rd Ste 111
Rockville, MD 20854-2957
Phone: (301) 762-5020
Fax: (301) 294-7569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6450 Us Highway 1, Rockledge, FL 32955-5747 — (321) 434-1512

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73702 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME148198 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence D0061630 (MD)

Record details

NPI number1861497372
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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