SCHARUKH JALISI (M.D., MA) – Otolaryngology Physician, NPI 1720040058
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
392 OTOLARYNGOLOGY in MA
Provider Addresses for SCHARUKH JALISI (M.D., MA)
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
DOB 503
BOSTON, MA 021182371
Phone:
Type: Mailing
330 BROOKLINE AVE
BOSTON, MA 022155400
Phone: (617) 732-7500
Fax: (617) 638-7522
Type: Location
Moakley Building, 830, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
SUITE 1400
BOSTON, MA 021182905
Phone: (617) 638-8124
Fax: (617) 638-6424
Type: Location
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: 2005-08-01
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 |
|---|---|---|---|---|
| I20050801000639 | I | Otolaryngology | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 101 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 120 | 103 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 65 | 65 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 40 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physician Assistant | CA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | CA | |
| Physician Assistant | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA |
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