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SHYAM RANDERIA MD
NPI 1043424419
Family Medicine in Panorama City, CA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
13652 CANTARA ST / BALBOA PLAZA, PANORAMA CITY, CA 91402(818) 832-7292 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shyam Randeria Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHYAM RANDERIA MD (NPI 1043424419) is an individual family medicine provider in Panorama City, California, licensed in California (A101775) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043424419
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHYAM RANDERIACredential: MD
Location Address13652 CANTARA ST / BALBOA PLAZAPanorama City, CA 91402
Mailing Address10605 Balboa Blvd Ste 330Granada Hills, CA 91344-6358
Phone(818) 832-7292
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1043424419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A101775
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 27588 (AL)
13652 CANTARA ST / BALBOA PLAZA, Panorama City, CA 91402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shyam Randeria Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183782329
PECOS Enrollment IDI20081016000606
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shyam Randeria's NPI number?

The NPI number for Shyam Randeria is 1043424419. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Shyam Randeria located?

Shyam Randeria practices at 13652 Cantara St / Balboa Plaza, Panorama City, CA 91402. The listed phone number is (818) 832-7292.

What is Shyam Randeria's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shyam Randeria enrolled in Medicare?

Yes. Shyam Randeria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shyam Randeria was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.