SHAREEF JANDALI MD
NPI 1265598130
Surgery - Plastic and Reconstructive Surgery in Trumbull, CT
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shareef Jandali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Trumbull, CT 06611
- Reassigned Medicare billing, Connecticut enrollment
- 2 clinicians in this Medicare group
Trumbull, CT 06611
- Reassigned Medicare billing, Connecticut enrollment
- 4 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.
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.
Which organizations bill Medicare for Shareef Jandali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shareef Jandali reassigns Medicare benefits to 2 organizations: Shareef Jandali Plastic Surgery LLC (Trumbull, CT) and The Diep Group Ct PLLC (Trumbull, CT). 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 Shareef Jandali'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 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 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.
# Shareef Jandali, MD · NPI 1265598130
Plastic and Reconstructive Surgery physician in Trumbull, Connecticut. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1265598130 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 049538 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 5520 PARK AVE, SUITE WP-2-300, Trumbull, CT 06611-3463
- **Phone:** (203) 374-0310 · **Fax:** (203) 374-0314
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Shareef Jandali Plastic Surgery LLC (NPI 1730488982, Trumbull, CT); The Diep Group Ct PLLC (NPI 1164143566, Trumbull, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2005
## Record status
- **NPPES last updated:** October 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1265598130) · Data from the CMS NPPES public registry.