SARAH REBECCA MARIETTI SHEPHERD (M.D.) – Pediatric Urology Physician, NPI 1801094115

SARAH REBECCA MARIETTI SHEPHERD (M.D.) is a healthcare provider. based in San diego, California. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. A106447 (CA). The NPI Number for SARAH REBECCA MARIETTI SHEPHERD (M.D.) is 1801094115

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SARAH REBECCA MARIETTI SHEPHERD (M.D.)
NPI
1801094115
Phone
(858) 309-6303
Address
3860 CALLE FORTUNADA
Enumeration Date
8 July 2007
Last Update Date
17 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
8585761700
Graduation Year
2003 (23 years ago)
PAC ID
4486829397
Group Practice PAC ID
3971677493
Professional Enrollment ID
I20111205000449
Address ID
CA921234223SA3020XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,307 UROLOGY in CA

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Provider Addresses for SARAH REBECCA MARIETTI SHEPHERD (M.D.)

  • Calle Fortunada, San Diego, San Diego County, California, 92123, United States

    STE #210

    SAN DIEGO, CA 921234802

    Phone: (858) 309-6303

    Type: Mailing

  • 7920, Frost Street, Serra Mesa, San Diego, San Diego County, California, 92123, United States

    STE 200

    SAN DIEGO, CA 921232736

    Phone: (858) 279-8527

    Fax: (858) 966-8479

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: COLOPLAST CORP ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
COLOPLAST CORP$15
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: 2011-12-05

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
I20111205000449IUrologyCATBD

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: 3971677493View full group profile
NameSpecialtyState
P A T H O L O G YCA
-CA
Infectious Disease, Pediatric MedicineCA
-CA
Infectious Disease, Pediatric MedicineCA
O T O L A R Y N G O L O G YFL
Pediatric MedicineCA
Hematology/Oncology, Pediatric MedicineCA
O P H T H A L M O L O G YCT
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

Does SARAH REBECCA MARIETTI SHEPHERD (M.D.) have a public NPI I can cite?
Public records show SARAH REBECCA MARIETTI SHEPHERD (M.D.) under NPI 1801094115.
Quick check: is SARAH REBECCA MARIETTI SHEPHERD (M.D.) active?
Public NPPES data shows SARAH REBECCA MARIETTI SHEPHERD (M.D.) with an active NPI status right now.
What type of care does SARAH REBECCA MARIETTI SHEPHERD (M.D.) provide?
SARAH REBECCA MARIETTI SHEPHERD (M.D.)'s profile centers on Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SARAH REBECCA MARIETTI SHEPHERD (M.D.)?
The directory associates SARAH REBECCA MARIETTI SHEPHERD (M.D.) with San Diego, California. Check all listed addresses for suites or satellite offices.
Can I export SARAH REBECCA MARIETTI SHEPHERD (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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