Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shirin Pilakka Kandakkil, MD

Individual provider Family Medicine Physician · NPI 1811514656

Shirin Pilakka Kandakkil, MD is registered under Family Practice in Fond Du Lac, Wisconsin. Qualified in 2018, 8 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2020
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

1081 E Johnson St
Fond Du Lac, WI 54935-8919
Phone: (920) 367-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81083-20 (WI)

Record details

NPI number1811514656
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2020
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients55
Services billed 108 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Holy Family Memorial Hospital · Manitowoc, WI
  • Ssm Health St Agnes Hospital-Fond Du Lac Hospital · Fond Du Lac, WI

Colleagues at Froedtert Manitowoc Medical Group, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 157 clinicians in the practice; 12 are shown here.

Other providers in Fond Du Lac