Dr Srujal Harshad Shah, DDS, DABDSM, DASBA in San Jose, CA

Dr Srujal Harshad Shah, DDS, DABDSM, DASBA is a medicare enrolled "Dentist" provider in San Jose, California. He went to Univ Of Calif, Los Angeles School Of Dentistry and graduated in 2008 and has 16 years of diverse experience with area of expertise as Oral Surgery. His current practice location is 6120 Hellyer Ave Ste 125, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 490-0182.

Dr Srujal Harshad Shah is licensed to practice in California (license number 58754) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457684623.

Contact Information

	Dr Srujal Harshad Shah, DDS, DABDSM, DASBA
	6120 Hellyer Ave Ste 125, San Jose, CA 95138-1066
	(408) 490-0182
	(408) 624-4545

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Srujal Harshad Shah
Gender	Male
Speciality	Oral Surgery
Experience	16 Years
Location	6120 Hellyer Ave Ste 125, San Jose, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Srujal Harshad Shah attended and graduated from Univ Of Calif, Los Angeles School Of Dentistry in 2008

NPI Data:

NPI Number: 1457684623
Provider Enumeration Date: 09/04/2009
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9638365893
Enrollment ID: I20120918000777

Medical Identifiers

Medical identifiers for Dr Srujal Harshad Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457684623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	58754 (California)	Primary
1223X2210X	Dentist - Orofacial Pain	58754 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Srujal Harshad Shah allows following entities to bill medicare on his behalf.

Entity Name	Dr Srujal H Shah Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639480973 PECOS PAC ID: 4486840634 Enrollment ID: O20120918000579

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Srujal Harshad Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Srujal Harshad Shah, DDS, DABDSM, DASBA 6120 Hellyer Ave Ste 125, San Jose, CA 95138-1066 Ph: (408) 490-0182	Dr Srujal Harshad Shah, DDS, DABDSM, DASBA 6120 Hellyer Ave Ste 125, San Jose, CA 95138-1066 Ph: (408) 490-0182

Reviews and Comments

Dentist in San Jose, CA

Nam Hoai Nguyen, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 459 S Capitol Ave, San Jose, CA 95127 Phone: 408-923-4989
Dr. Rosemary Evans, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2680 S White Road, Suite 100, San Jose, CA 95148 Phone: 408-531-9881 Fax: 408-531-9580
Dr. Huong Thi Mai Nguyen, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1657 Mckee Rd Ste 40, San Jose, CA 95116 Phone: 408-937-9229 Fax: 408-937-6169
Magdalena Azzarelli, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1660 Hillsdale Ave, 130, San Jose, CA 95124 Phone: 408-267-2550 Fax: 408-267-1411
Dr. Aparna R. Naik, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Saratoga Ave Apt E307, San Jose, CA 95129 Phone: 408-833-7992
Dr. Arline G Guinto Macaraeg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 N Jackson Ave, Suite 207, San Jose, CA 95116 Phone: 408-258-9943 Fax: 408-258-9951
Dr. Cory Timbers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 N Jackson Ave, Suite 202, San Jose, CA 95116 Phone: 408-251-3766

Dr Srujal Harshad Shah, DDS, DABDSM, DASBA - Medicare Dentist in San Jose, CA