SHANNON CHERAYIL
NPI 1063092641
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Shannon Cherayil NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON CHERAYIL (NPI 1063092641) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Cherayil 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Cherayil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Weeki Wachee, FL 34607
- Reassigned Medicare billing, Florida enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
PHOENIX, AZ 85015
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 Shannon Cherayil's NPI number?
The NPI number for Shannon Cherayil is 1063092641. It was assigned to this individual provider in the NPPES registry on April 8, 2021.
Where is Shannon Cherayil located?
Shannon Cherayil practices at 2000 W Bethany Home Rd, Phoenix, AZ 85015. The listed phone number is (602) 249-0212.
What is Shannon Cherayil's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shannon Cherayil enrolled in Medicare?
Yes. Shannon Cherayil 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.
Which organization bills Medicare for Shannon Cherayil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Cherayil reassigns Medicare benefits to Osteopathic Heritage, P.A. (Weeki Wachee, FL). 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 Shannon Cherayil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Cherayil was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shannon Cherayil · NPI 1063092641
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1063092641 (Entity type: Individual)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 W BETHANY HOME RD, Phoenix, AZ 85015-2443
- **Phone:** (602) 249-0212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osteopathic Heritage, P.A. (NPI 1215107206, Weeki Wachee, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** April 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063092641) · Data from the CMS NPPES public registry.