ARIEL SHUCKETT (M.D., M.P.H., M.A.) – Obstetrics & Gynecology Physician, NPI 1245590124

ARIEL SHUCKETT (M.D., M.P.H., M.A.) is a healthcare provider. based in San diego, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D., M.P.H., M.A.. They hold a License No. A144372 (CA). The NPI Number for ARIEL SHUCKETT (M.D., M.P.H., M.A.) is 1245590124

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ARIEL SHUCKETT (M.D., M.P.H., M.A.)
NPI
1245590124
Phone
(858) 277-9378
Address
7695 CARDINAL CT
Enumeration Date
24 May 2012
Last Update Date
30 August 2016

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8582779378
Graduation Year
2012 (14 years ago)
PAC ID
9133449093
Group Practice PAC ID
1850315235
Professional Enrollment ID
I20171003006584
Address ID
CA921233357SA7695XCTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for ARIEL SHUCKETT (M.D., M.P.H., M.A.)

  • 7695 CARDINAL CT

    SUITE 240

    SAN DIEGO, CA 921233357

    Phone: (858) 277-9378

    Fax: (858) 277-9378

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $329.

Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($149).

Total Amount

$329

General + Research + Ownership

Payments

12

Total payment records

General Amount

$329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-03

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
I20171003006584IObstetrics/GynecologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92123)

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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: 1850315235View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YMD
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA

Reviews

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Frequently asked questions

Can I verify ARIEL SHUCKETT (M.D., M.P.H., M.A.) with an NPI only?
You can start verification with NPI 1245590124 for ARIEL SHUCKETT (M.D., M.P.H., M.A.), then check state licensing separately.
Does CMS list ARIEL SHUCKETT (M.D., M.P.H., M.A.) as active?
Yes — ARIEL SHUCKETT (M.D., M.P.H., M.A.) is active in the NPI listing used on this page.
What is ARIEL SHUCKETT (M.D., M.P.H., M.A.)'s specialty?
The listing groups ARIEL SHUCKETT (M.D., M.P.H., M.A.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is ARIEL SHUCKETT (M.D., M.P.H., M.A.) based?
ARIEL SHUCKETT (M.D., M.P.H., M.A.) is tied to San Diego, California in the data we show; additional addresses may exist on the full record.
Why does ARIEL SHUCKETT (M.D., M.P.H., M.A.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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