NPIMap

Individual provider Active NPI

Shefali Dham, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pleasanton, CA
National Provider Identifier
1184808750
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A113435 Issued in CA
Practice address
5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016
Phone
(925) 416-6767
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 253758 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A113435 CA Primary

Addresses

Primary practice location

5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016

Mailing address

480 Sutcliffe PL
Walnut Creek, CA 94598-3938
Phone (925) 852-7075

Other names 1

  • Miss Shefali Aneja Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000818 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 0345306080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

5725 W Las Positas Blvd
Suite 110
Pleasanton, CA 94588-4016
Phone (925) 416-6767

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113435CAMDEndocrinology, Diabetes & Metabolism Physician
253758NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Mar 28, 2011 Accepting new patients
Alameda Health System CurrentSince Mar 28, 2011 Accepting new patients
University Healthcare Alliance Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2015 Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Lutheran Medical Center Past Accepting new patients
Affinity Medical Group Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sdham146709@direct.stanfordhealthcare.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1184808750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 SUTCLIFFE PL",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983938",
            "telephone_number": "925-852-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 W LAS POSITAS BLVD STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884016",
            "telephone_number": "925-416-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAM",
        "first_name": "SHEFALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "253758",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A113435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEFALI",
            "last_name": "ANEJA",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.