SHIBANI SUNILKUMAR SHAH – Nurse Practitioner, NPI 1326719063
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for SHIBANI SUNILKUMAR SHAH
701 E 28th St Ste 311
Long Beach, CA 908062780
Phone: (562) 595-4777
Fax: (562) 424-9644
Type: Location
1360 W 6th St Ste 370
San Pedro, CA 907323527
Phone: (310) 519-8890
Fax: (310) 519-9349
Type: Location
6399 SAN IGNACIO AVE STE 120
SAN JOSE, CA 951191215
Phone: (714) 312-9701
Fax: (408) 904-7730
Type: Mailing
1441 AVOCADO AVE STE 409
NEWPORT BEACH, CA 926607705
Phone: (949) 640-4501
Fax: (949) 640-0741
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 156 Open Payments records for all available years, with a total value of $7,871.
Total Amount is formed as General ($7,871) + Research ($0) + Ownership ($0) = $7,871.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($2,045).
Total Amount
$7,871
General + Research + Ownership
Payments
156
Total payment records
General Amount
$7,871
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arcutis Biotherapeutics, Inc. | $2,045 |
| PFIZER INC. | $1,153 |
| Regeneron Healthcare Solutions, Inc. | $590 |
| ABBVIE INC. | $577 |
| E.R. Squibb & Sons, L.L.C. | $462 |
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: 2021-11-16
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20211116002726 | I | Nurse Practitioner | CA | 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 | 246 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 183 | 110 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 72 | 63 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 71 | 60 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 59 | 50 | $0 |
Insurance plans in this area (ZIP 90806)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| General Practice | FL | |
| Nurse Practitioner | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| - | CA |
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