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

Shaismy Kudakachira, DO

Individual provider Internal Medicine Physician · NPI 1205248192

Shaismy Kudakachira, DO is an Internal Medicine in Ewing, New Jersey. Graduated from West Virginia School of Osteopathic Medicine in 2014, 12 years ago. Practices with Capital Health Medical Group, a 438-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
12
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

850 Bear Tavern Rd
Ewing, NJ 08628-1018
Phone: (609) 656-8844
Fax: (609) 656-8845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA00000X (NJ)

Record details

NPI number1205248192
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2014
Last updated in NPPESJuly 21, 2022
Certification dateApril 27, 2021
Mailing address850 Bear Tavern Rd, Ewing, NJ 08628-1018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Capital Health Medical Group — 438 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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