DR. SHELLY VERMA (M.D.) – Family Medicine Physician, NPI 1073619722

DR. SHELLY VERMA (M.D.) is a healthcare provider. based in Walnut creek, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A88475 (CA). The NPI Number for DR. SHELLY VERMA (M.D.) is 1073619722

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHELLY VERMA (M.D.)
NPI
1073619722
Phone
(925) 296-9000
Address
1450 Treat Blvd
Enumeration Date
16 September 2006
Last Update Date
29 May 2020

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
5104901222
Graduation Year
2003 (23 years ago)
PAC ID
5092711838
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20100909000900
Address ID
CA945382299FR3200XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. SHELLY VERMA (M.D.)

  • 1450 Treat Blvd

    Suite 160

    Walnut Creek, CA 945972168

    Phone: (925) 296-9000

    Fax: (925) 296-9071

    Type: Location

  • 325, Distel Circle, Los Altos, Santa Clara County, California, 94022, United States

    LOS ALTOS, CA 940221408

    Phone:

    Type: Mailing

  • 3200, Kearney Street, Fremont, Alameda County, California, 94538, United States

    FREMONT, CA 945382299

    Phone: (510) 490-1222

    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: 2010-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100909000900IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3423$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
99215Established patient office or other outpatient visit, 40-54 minutes1412$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 94597)

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Provider's Procedures

DR. SHELLY VERMA (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA81002Urinalysis, manual test1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Can I cross-check DR. SHELLY VERMA (M.D.) using NPI 1073619722?
NPI 1073619722 belongs to DR. SHELLY VERMA (M.D.); compare other details if you need extra assurance.
Is DR. SHELLY VERMA (M.D.) shown as active in public data?
Registry records indicate DR. SHELLY VERMA (M.D.) maintains an active NPI.
How would a patient describe DR. SHELLY VERMA (M.D.)'s focus?
For DR. SHELLY VERMA (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. SHELLY VERMA (M.D.) registered?
Use Walnut Creek, California as the headline location for DR. SHELLY VERMA (M.D.) here.
When was this NPI issued?
Enumeration for DR. SHELLY VERMA (M.D.) is noted as September 16, 2006 where the registry provides it.

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