SHOBHA SEM M.D
NPI 1336124452
Family Medicine in Kadena Ab, OKINAWA
About Shobha Sem M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOBHA SEM M.D (NPI 1336124452) is an individual family medicine provider in Kadena Ab, OKINAWA, licensed in Delaware (C1-0005822) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1969).
NPPES Registry Identity
Specialties & Licenses
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
Shobha Sem 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.
Medicare Billing Reassignment
Medicare enrollment records show Shobha Sem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarion, PA 16214
- Reassigned Medicare billing, Pennsylvania enrollment
- 142 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.
Areas of Expertise CMS Part B claims 2
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.
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 Shobha Sem's NPI number?
The NPI number for Shobha Sem is 1336124452. It was assigned to this individual provider in the NPPES registry on December 12, 2005.
Where is Shobha Sem located?
Shobha Sem practices at Psc80,box13453 Apo,ap,96367, Kadena Ab, OKINAWA 96367. The listed phone number is (011) 630-4305.
What is Shobha Sem's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shobha Sem enrolled in Medicare?
Yes. Shobha Sem 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 organization bills Medicare for Shobha Sem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shobha Sem reassigns Medicare benefits to Eastern Pennsylvania Physician Alliance LLC (Clarion, PA). The 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 Shobha Sem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shobha Sem accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Anthem Blue Cross and Blue Shield list Shobha Sem 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 Shobha Sem was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shobha Sem, M.D · NPI 1336124452
Family Medicine physician in Kadena Ab, OKINAWA. Individual provider, active in the CMS NPPES registry since December 12, 2005.
## Identity
- **NPI:** 1336124452 (Entity type: Individual)
- **Enumerated:** December 12, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** C1-0005822 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** PSC80,BOX13453, APO,AP,96367, Kadena Ab, OKINAWA 96367
- **Phone:** (011) 630-4305 · **Fax:** (315) 630-4230
## 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:** Eastern Pennsylvania Physician Alliance LLC (NPI 1902440621, Clarion, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1969
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336124452) · Data from the CMS NPPES public registry.