TCHAKA BAYETE SHEPHERD (MD) – Surgery Physician, NPI 1124078670

TCHAKA BAYETE SHEPHERD (MD) is a healthcare provider. based in Long beach, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A72326 (CA). The NPI Number for TCHAKA BAYETE SHEPHERD (MD) is 1124078670

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
TCHAKA BAYETE SHEPHERD (MD)
NPI
1124078670
Phone
(562) 427-1322
Address
701 E 28TH STREET
Enumeration Date
12 May 2006
Last Update Date
14 December 2010

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
9094699477
Graduation Year
1998 (28 years ago)
PAC ID
3476561994
Group Practice PAC ID
6204101850
Professional Enrollment ID
I20060324000504
Address ID
CA917672922PO160XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for TCHAKA BAYETE SHEPHERD (MD)

  • Atlantic Medical Center, 701, East 28th Street, Long Beach, Los Angeles County, California, 90806, United States

    SUITE 411

    LONG BEACH, CA 90806

    Phone: (562) 427-1322

    Fax: (562) 427-4282

    Mailing address matches the actual address.

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: 2006-03-24

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
I20060324000504IGeneral SurgeryCATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 90806)

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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: 6204101850View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NY
General SurgeryMA
General SurgeryMD
General Surgery, Critical Care (Intensivists)PA
General Surgery, Critical Care (Intensivists)NJ
General Surgery, Critical Care (Intensivists)CA
General SurgeryCA

Reviews

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Frequently asked questions

How do I look up TCHAKA BAYETE SHEPHERD (MD) by NPI?
Use NPI 1124078670 when you need to reference TCHAKA BAYETE SHEPHERD (MD) in forms, claims, or directories.
Is TCHAKA BAYETE SHEPHERD (MD)'s NPI currently valid?
The extract we use shows TCHAKA BAYETE SHEPHERD (MD) as active.
What field does TCHAKA BAYETE SHEPHERD (MD) work in?
You can think of TCHAKA BAYETE SHEPHERD (MD) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for TCHAKA BAYETE SHEPHERD (MD)?
We surface Long Beach, California for TCHAKA BAYETE SHEPHERD (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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