Dr Srujal H Shah DDS Inc

A Medicare group practice based in Monterey, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4486840634), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486840634The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
5
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
9In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20101130000584 CA DME Supplier - Oral Surgery - Dentist 1639480973
O20120918000579 CA Part B Supplier - Clinic/Group Practice 1639480973
O20170504000050 CA DME Supplier - Oral Surgery - Dentist 1801286505
O20150707000265 CA DME Supplier - Oral Surgery - Dentist 1710377494
O20150707000180 CA DME Supplier - Oral Surgery - Dentist 1528458403

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page