NOVA SHU (M.D.) – Dermatology Physician, NPI 1174055883
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for NOVA SHU (M.D.)
UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States
CITY TOWER, STE 400
ORANGE, CA 928683201
Phone: (714) 456-5691
Type: Location
135 CUMBERLAND RD STE 206
PITTSBURGH, PA 152375447
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 154 Open Payments records for all available years, with a total value of $2,226.
Total Amount is formed as General ($2,226) + Research ($0) + Ownership ($0) = $2,226.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,378).
Total Amount
$2,226
General + Research + Ownership
Payments
154
Total payment records
General Amount
$2,226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,378 |
| E.R. Squibb & Sons, L.L.C. | $264 |
| Galderma Laboratories, L.P. | $154 |
| Journey Medical Corporation | $134 |
| Dermavant Sciences, Inc. | $133 |
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: 2021-08-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210825002114 | I | Dermatology | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 546 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 212 | 138 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 194 | 121 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 107 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 159 | 120 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| D E R M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| D E R M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Physician Assistant | DE | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | NC |
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