1. Home
  2. Directory
  3. California
  4. Pleasanton
  5. Internal Medicine
  6. NPI Profile

DR. SHEFALI DHAM M.D.
NPI 1184808750
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pleasanton, CA

Active since December 19, 2007PECOS EnrolledAccepts Medicare Assignment
5725 W LAS POSITAS BLVD STE 110, PLEASANTON, CA 94588(925) 416-6767 Get Directions Write a Review

NPPES record last updated: April 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2020, Dec 8, 2019, Oct 24, 2019 (3 updates tracked since 2019).

About Dr. Shefali Dham M.d. NPPES

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

DR. SHEFALI DHAM M.D. (NPI 1184808750) is an individual endocrinology, diabetes & metabolism provider in Pleasanton, California, licensed in California (A113435) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1184808750
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SHEFALI DHAMCredential: M.D.
Location Address5725 W LAS POSITAS BLVD STE 110Pleasanton, CA 94588-4016
Mailing Address480 Sutcliffe PlWalnut Creek, CA 94598-3938 · (925) 852-7075
Phone(925) 416-6767
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 19, 2007
Last NPPES UpdateApril 19, 20203 updates tracked since enumeration
NPPES CertifiedApril 19, 2020
✔ NPI 1184808750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in CA · A113435✔ Licensed in NY · 253758
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5725 W LAS POSITAS BLVD STE 110, Pleasanton, CA 94588
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Shefali Aneja Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shefali Dham 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 ID345306080
PECOS Enrollment IDI20110601000818
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
9,060 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
547 services326 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
161 services76 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
160 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers26 claims267 services$18.32 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers27 claims730 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers100 claims347 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers47 claims68 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers15 claims15 services$318.12 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier18 claims700 services$7.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. RAYMUNDO P PUNZALAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Alameda County (925) 463-1400
KATHERINE L BURCK M.D.
Internal Medicine
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Alameda County (925) 463-1400
DR. SWAPNA KAMIREDDY MD
Internal Medicine
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Alameda County (925) 847-3000

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 Shefali Dham's NPI number?

The NPI number for Shefali Dham is 1184808750. It was assigned to this individual provider in the NPPES registry on December 19, 2007. The provider is also known as Miss Shefali Aneja MD.

Where is Shefali Dham located?

Shefali Dham practices at 5725 W Las Positas Blvd Ste 110, Pleasanton, CA 94588. The listed phone number is (925) 416-6767.

What is Shefali Dham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shefali Dham enrolled in Medicare?

Yes. Shefali Dham 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.

When was this NPI record last updated?

The NPPES record for Shefali Dham was last updated on April 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.