SHYAM BHANSALI (D.O.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1013396068
Hospice and Palliative Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHYAM BHANSALI (D.O.)
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (323) 442-5100
Type: Mailing
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Phone: (323) 442-5100
Type: Location
3600 NW Samaritan Dr
Corvallis, OR 973303737
Phone: (541) 768-4906
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191030000810 | I | Hospice/Palliative Care | CA | TBD |
| I20230306001239 | I | Hospice/Palliative Care | OR | TBD |
| I20230306001374 | I | Hospice/Palliative Care | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| U R O L O G Y | CA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | CA | |
| Nurse Practitioner | CA |
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