SHADI RASHTAK MD
NPI 1053546416
Dermatology in Vallejo, CA

Q: What is Shadi Rashtak's NPI number?

The NPI number for Shadi Rashtak is 1053546416. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Q: What is Shadi Rashtak's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shadi Rashtak was last updated on February 2, 2022. 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.

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment

975 SERENO DR, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2022, Sep 20, 2017 (2 updates tracked since 2017).

On this page

About Shadi Rashtak Md NPPES

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

SHADI RASHTAK MD (NPI 1053546416) is an individual dermatology provider in Vallejo, California, licensed in California (A149698) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053546416

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameSHADI RASHTAKCredential: MD

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address68 Cavalier BlvdFlorence, KY 41042-1645 · (513) 475-7630 · Fax (859) 781-8374

Phone(707) 651-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 28, 2009

Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2022

✔ NPI 1053546416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in CA · A149698✔ Licensed in KY · 47222✔ Licensed in MN · 54232✔ Licensed in CA · V149698✔ Licensed in OH · 35123652

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

975 SERENO DR, Vallejo, CA 94589

Open in Google Maps ↗

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

Shadi Rashtak 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 ID1355513995

PECOS Enrollment IDI20171215001604

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 94589 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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 20

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

DR. ROBERTA YIWUN WANG M.D.

Physical Medicine & Rehabilitation