CYNTHIA H SHOLLY MD
NPI 1255411401
Pediatrics in Orange, CA
About Cynthia H Sholly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNTHIA H SHOLLY MD (NPI 1255411401) is an individual pediatrics provider in Orange, California, licensed in California (000000G57317) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cynthia H Sholly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Cynthia Sholly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 143 clinicians in this Medicare group
Santa Ana, CA 92701
- Reassigned Medicare billing, California enrollment
- 255 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 92868 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.
ORANGE, CA 92868
ORANGE, CA 92868
ORANGE, CA 92868
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 Cynthia Sholly's NPI number?
The NPI number for Cynthia Sholly is 1255411401. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is Cynthia Sholly located?
Cynthia Sholly practices at Uci Medical Center 101 The City Drive South, Orange, CA 92868. The listed phone number is (714) 456-8978.
What is Cynthia Sholly's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Cynthia Sholly enrolled in Medicare?
Yes. Cynthia Sholly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Cynthia Sholly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Sholly reassigns Medicare benefits to 2 organizations: Uc Regents Uci Dept Of Pediatrics (Orange, CA) and University Of California Irvine (Santa Ana, CA). 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 Cynthia Sholly'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 Cynthia Sholly was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Cynthia H Sholly, MD · NPI 1255411401
Pediatrics physician in Orange, California. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1255411401 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 000000G57317 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, Orange, CA 92868
- **Phone:** (714) 456-8978
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Uc Regents Uci Dept Of Pediatrics (NPI 1235187311, Orange, CA); University Of California Irvine (NPI 1851325906, Santa Ana, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255411401) · Data from the CMS NPPES public registry.