DR. RAZEQ ABDUL SHETAB M.D.
NPI 1063414977
Internal Medicine - Infectious Disease in Modesto, CA

Q: What is Razeq Shetab's NPI number?

The NPI number for Razeq Shetab is 1063414977. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Razeq Shetab's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Razeq Shetab was last updated on December 22, 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.

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment

2030 COFFEE RD, SUITE B-1, MODESTO, CA 95355(209) 578-1200(209) 578-3757 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Razeq Abdul Shetab M.d. NPPES

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

DR. RAZEQ ABDUL SHETAB M.D. (NPI 1063414977) is an individual infectious disease provider in Modesto, California, licensed in California (A55408) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1063414977

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. RAZEQ ABDUL SHETABCredential: M.D.

Location Address2030 COFFEE RD, SUITE B-1Modesto, CA 95355-2413

Mailing Address288 W Santos AveRipon, CA 95366-9337 · (209) 599-6018 · Fax (209) 599-6018

Phone(209) 578-1200

Fax(209) 578-3757

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 10, 2005

Last NPPES UpdateDecember 22, 2021

✔ NPI 1063414977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in CA · A55408

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2030 COFFEE RD, Modesto, CA 95355

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Other Identifiers 1

Medicaid00A554081CA

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

Dr. Razeq Abdul Shetab M.d. 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 ID5890755169

PECOS Enrollment IDI20041012001173

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 Razeq Shetab reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

30 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 95355 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Other Providers at the Same Location NPPES 10

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

MR. JAMES L SPARKMAN SLP

Speech-Language Pathologist

2030 COFFEE RD, SUITE C-2
MODESTO, CA 95355

Stanislaus County (209) 572-2505

CHUN PO HUANG D.D.S.

Dentist (General Practice)

2030 COFFEE RD, C-4
MODESTO, CA 95355

Stanislaus County (209) 238-9444

FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC

Clinical Medical Laboratory

2030 COFFEE RD, SUITE A-1
MODESTO, CA 95355

Stanislaus County (209) 578-0443

DR. YAN GAO DDS

Dentist (General Practice)

2030 COFFEE RD
MODESTO, CA 95355

Stanislaus County (203) 747-1133

STANLEY D. BRIZENDINE CRNA

Nurse Anesthetist, Certified Registered

2030 COFFEE RD, SUITE A-1
MODESTO, CA 95355

Stanislaus County (209) 578-0443

MICHAEL S. WEINER MD

Obstetrics & Gynecology

2030 COFFEE RD, SUITE A-1
MODESTO, CA 95355

Stanislaus County (209) 578-0443

SOE L. WYNN, DMD, INC.

Dentist

2030 COFFEE RD, SUITE C-4
MODESTO, CA 95355

Stanislaus County (209) 238-9444

DR. SHAROKINA ESHAGHI DMD

Dentist (General Practice)

2030 COFFEE RD
MODESTO, CA 95355

Stanislaus County (209) 238-9444

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 Razeq Shetab's NPI number?

The NPI number for Razeq Shetab is 1063414977. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Razeq Shetab located?

Razeq Shetab practices at 2030 Coffee Rd Suite B-1, Modesto, CA 95355. The listed phone number is (209) 578-1200.

What is Razeq Shetab's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Razeq Shetab enrolled in Medicare?

Yes. Razeq Shetab 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 Razeq Shetab's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Razeq Shetab reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Razeq Shetab'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 Razeq Shetab was last updated on December 22, 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.