Active NPI
Shashank Jolly, M.D
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01081142A
- Practice address
- 1541 Florida Ave Ste 305
Modesto, CA 95350-4439 - Phone
- (209) 755-8335
- Fax
- (209) 575-5836
- NPI assigned
- Mar 23, 2009
- Last updated
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A126261 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01081142A | IN | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD430577 | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 11204 | ND |
Addresses
Primary practice location
1541 Florida Ave Ste 305
Modesto, CA 95350-4439
Mailing address
120 Victoria PL
Danville, CA 94506-1424
Phone (440) 655-7507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A126261 | Other | CA | STATE LICENSE |
| 1902047814 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IN, NE, IA, AZ, KS, CO, VA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
1541 Florida Ave
Suite 305
Modesto, CA 95350-4439
Phone (209) 577-3388
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2694
Phone (317) 621-8500
Hospital & facility affiliations
- Doctors Medical Center
- Sentara RMH Medical Center
- Community Hospital East
- Lewisgale Medical Center
- St Francis Hospital- Emory Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126261 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| MD430577 | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| RMH Medical Group LLC | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| CHI Health Clinic Specialty, LLC | Family Medicine | Current | Accepting new patients |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Washington Township Medical Foundation | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Grand Junction, LLC | Family Medicine | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Family Medicine | Current | Accepting new patients |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| TMC Medical Network | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| St Mary's Hospital and Medical Center, Inc | Past | Accepting new patients | |
| First Choice Physician Partners | Family Medicine | Past | Accepting new patients |
Locations (25 of 33)
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
39141 Civic Center Dr
Ste 335
Fremont, CA 94538
Phone (510) 248-1400
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1541 Florida Ave
Ste 305
Modesto, CA 95350
Phone (209) 575-5833
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
505 W Main St
Ste B
Visalia, CA 93291
Phone (559) 627-6149
840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
2643 Patterson Rd
Ste 403
Grand Junction, CO 81506
Phone (970) 298-7662
1600 N Grand Ave
Ste 500
Pueblo, CO 81003
Phone (719) 545-0663
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
8075 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-8000
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jshashank67193@direct.whhs.com
- sjolly1049969@direct.sentara.net
- sjolly1152403@direct.bsmhealth.org
Organizations & group practices 26
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Kaweah Health Cardiothoracic Surgery Clinic
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
Family Medicine
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
Family Medicine
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba Sentara RMH Medical Group
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
-
dba St Francis Hospital
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1902047814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 VICTORIA PL",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945061424",
"telephone_number": "440-655-7507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE STE 305",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504439",
"telephone_number": "209-755-8335",
"fax_number": "209-575-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "SHASHANK",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-23",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A126261",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01081142A",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD430577",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "ND",
"license": "11204",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A126261",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902047814",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.