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DR. ABDULLAH SHAH DDS, BSPH
NPI 1053007864
Dentist in Sunland Park, NM

Active since April 14, 2023PECOS Enrolled
2625 MCNUTT RD, SUNLAND PARK, NM 88063(505) 750-7865 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2023, Apr 14, 2023 (2 updates tracked since 2023).

About Dr. Abdullah Shah Dds, Bsph NPPES

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

DR. ABDULLAH SHAH DDS, BSPH (NPI 1053007864) is an individual dentist in Sunland Park, New Mexico, licensed in New Mexico (DB-2023-0102) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Dentistry (2023).

NPPES Registry Identity

NPI1053007864
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ABDULLAH SHAHCredential: DDS, BSPH
Location Address2625 MCNUTT RDSunland Park, NM 88063-9608
Mailing Address2625 Mcnutt RdSunland Park, NM 88063-9608
Phone(505) 750-7865
Sole ProprietorNo
Medical School CMSCreighton University School Of DentistryGraduated 2023
Enumeration DateApril 14, 2023
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1053007864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DB-2023-0102
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2625 MCNUTT RD, Sunland Park, NM 88063
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abdullah Shah Dds, Bsph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143789925
PECOS Enrollment IDI20260824001032
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.

Medicare Billing Reassignment

Medicare enrollment records show Abdullah Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De Familia, Incorporated
Same address
Federally Qualified Health Center (FQHC)
2625 MCNUTT RD
Sunland Park, NM 88063
  • Reassigned Medicare billing, New Mexico enrollment
  • 103 clinicians in this Medicare group
NPI 1730152281 (575) 589-0887

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88063 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HOLLY LINDEN HARTUNG CFNP
Nurse Practitioner (Family)
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887
LA CLINICA DE FAMILIA, INCORPORATED
Community/Behavioral Health
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887
JACQUELYN BRITO MD
Family Medicine
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887
CYNTHIA RANGEL-OLGUIN LMSW
Social Worker
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887
KERIMA B SETRA RDH
Dental Hygienist
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-1500
ERIKA PANTOJA FNP
Nurse Practitioner (Family)
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887
ANNE ROBERTI MD
Family Medicine
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887
LETICIA CASTILLO LMSW
Social Worker
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Doña Ana County (575) 589-0887

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 Abdullah Shah's NPI number?

The NPI number for Abdullah Shah is 1053007864. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Abdullah Shah located?

Abdullah Shah practices at 2625 Mcnutt Rd, Sunland Park, NM 88063. The listed phone number is (505) 750-7865.

What is Abdullah Shah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Abdullah Shah enrolled in Medicare?

Yes. Abdullah Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abdullah Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdullah Shah reassigns Medicare benefits to La Clinica De Familia, Incorporated (Sunland Park, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdullah Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdullah Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Abdullah Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abdullah Shah was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.