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SHAREEF JANDALI MD
NPI 1265598130
Surgery - Plastic and Reconstructive Surgery in Trumbull, CT

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
5520 PARK AVE, SUITE WP-2-300, TRUMBULL, CT 06611(203) 374-0310(203) 374-0314 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shareef Jandali Md NPPES

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

SHAREEF JANDALI MD (NPI 1265598130) is an individual plastic and reconstructive surgery provider in Trumbull, Connecticut, licensed in Connecticut (049538) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2005).

NPPES Registry Identity

NPI1265598130
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameSHAREEF JANDALICredential: MD
Location Address5520 PARK AVE, SUITE WP-2-300Trumbull, CT 06611-3463
Mailing Address5520 Park Ave, Suite Wp-2-300Trumbull, CT 06611-3463 · (203) 374-0310 · Fax (203) 374-0314
Phone(203) 374-0310
Fax(203) 374-0314
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2005
Enumeration DateDecember 28, 2006
Last NPPES UpdateOctober 11, 2019
✔ NPI 1265598130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CT · 049538
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License MT185935 (PA), MD 049538 (CT)
5520 PARK AVE, Trumbull, CT 06611
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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

Shareef Jandali 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 ID840476503
PECOS Enrollment IDI20110512000867
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.

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.

SUSANNA DAHL CRONMILLER F.N.P, APRN
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
MRS. ALEXIS GRACE SHAUB PA
Physician Assistant (Medical)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
DR. TIMOTHY JOHN HEITZMAN PH.D.
Psychologist
5520 PARK AVE, SUITE 206
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 612-0908
JENNIFER ZHANG APRN
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
KATHERINE AILEEN DUARTE APRN
Nurse Practitioner (Community Health)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 372-6700
ROBIN BERGER MD
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 374-1018
CONNECTICUT PAIN CARE, P.C.
Specialist
5520 PARK AVE, SUITE 303
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 373-7330
DR. KERRY WRIGHT D.O.
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (845) 418-0763

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 Shareef Jandali's NPI number?

The NPI number for Shareef Jandali is 1265598130. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Shareef Jandali located?

Shareef Jandali practices at 5520 Park Ave Suite Wp-2-300, Trumbull, CT 06611. The listed phone number is (203) 374-0310.

What is Shareef Jandali's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Shareef Jandali enrolled in Medicare?

Yes. Shareef Jandali 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 Shareef Jandali was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.