SHANNON SNOOK DRALLA M.D.
NPI 1073855326
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Shannon Snook Dralla M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON SNOOK DRALLA M.D. (NPI 1073855326) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Snook Dralla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Dralla 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.
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Dralla's NPI number?
The NPI number for Shannon Dralla is 1073855326. It was assigned to this individual provider in the NPPES registry on March 25, 2013. The provider is also known as Shannon Helene Snook.
Where is Shannon Dralla located?
Shannon Dralla practices at 751 S Bascom Ave 7c054, San Jose, CA 95128. The listed phone number is (408) 885-5110.
What is Shannon Dralla'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 Dralla enrolled in Medicare?
Yes. Shannon Dralla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Dralla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dralla 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 Shannon Dralla'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 Dralla was last updated on January 10, 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.
# Shannon Snook Dralla, M.D. · NPI 1073855326
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since March 25, 2013.
## Identity
- **NPI:** 1073855326 (Entity type: Individual)
- **Enumerated:** March 25, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, 7C054, San Jose, CA 95128-2604
- **Phone:** (408) 885-5110
## 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
## Record status
- **NPPES last updated:** January 10, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1073855326) · Data from the CMS NPPES public registry.