SUSAN SHERALI MD
NPI 1063115798
Family Medicine in San Jose, CA
About Susan Sherali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN SHERALI MD (NPI 1063115798) is an individual family medicine provider in San Jose, California, licensed in Texas (W5562) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Sherali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Sherali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Susan Sherali's NPI number?
The NPI number for Susan Sherali is 1063115798. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Susan Sherali located?
Susan Sherali practices at 250 Hospital Pkwy, San Jose, CA 95119. The listed phone number is (806) 282-4683.
What is Susan Sherali's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Susan Sherali enrolled in Medicare?
Yes. Susan Sherali is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Sherali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Sherali reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Susan Sherali'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 Susan Sherali was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Susan Sherali, MD · NPI 1063115798
Family Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1063115798 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** W5562 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 HOSPITAL PKWY, San Jose, CA 95119-1103
- **Phone:** (806) 282-4683
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063115798) · Data from the CMS NPPES public registry.