SHALINI KRISHNASAMY MD
NPI 1154858314
Dermatology in Vallejo, CA

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
975 SERENO DR, VALLEJO, CA 94589(707) 651-2552 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Dec 5, 2020, May 18, 2017 (3 updates tracked since 2017).

About Shalini Krishnasamy Md NPPES

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

SHALINI KRISHNASAMY MD (NPI 1154858314) is an individual dermatology provider in Vallejo, California, licensed in California (A198189) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2016).

NPPES Registry Identity

NPI1154858314
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHALINI KRISHNASAMYCredential: MD
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address975 Sereno DrVallejo, CA 94589-2441
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2016
Enumeration DateMay 18, 2017
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1154858314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A198189
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.
975 SERENO DR, Vallejo, CA 94589

Accepted Insurance

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

Shalini Krishnasamy 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 ID4880938729
PECOS Enrollment IDI20241011002661
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 Reassignments

2

Medicare enrollment records show Shalini Krishnasamy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 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 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.

Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Surgery
975 SERENO DR
VALLEJO, CA 94589

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 Shalini Krishnasamy's NPI number?

The NPI number for Shalini Krishnasamy is 1154858314. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Shalini Krishnasamy located?

Shalini Krishnasamy practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-2552.

What is Shalini Krishnasamy's specialty?

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

Is Shalini Krishnasamy enrolled in Medicare?

Yes. Shalini Krishnasamy 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 organizations bill Medicare for Shalini Krishnasamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Krishnasamy reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Jefferson University Physicians (Philadelphia, PA). Each 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 Shalini Krishnasamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Krishnasamy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shalini Krishnasamy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shalini Krishnasamy was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.