DR. SHITAL PAVAWALLA PH.D.
NPI 1336400357
Clinical Neuropsychologist in Los Angeles, CA

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
300 MEDICAL PLAZA # B200, LOS ANGELES, CA 90095(310) 794-1195 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2020, Aug 28, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Shital Pavawalla Ph.d. NPPES

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

DR. SHITAL PAVAWALLA PH.D. (NPI 1336400357) is an individual clinical neuropsychologist in Los Angeles, California, licensed in California (24673) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1336400357
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. SHITAL PAVAWALLACredential: PH.D.
Location Address300 MEDICAL PLAZA # B200Los Angeles, CA 90095-6361
Mailing AddressPo Box 512717Los Angeles, CA 90051-0717 · (310) 967-1780 · Fax (323) 940-0182
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 6, 2012
Last NPPES UpdateSeptember 16, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1336400357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in CA · 24673
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
300 MEDICAL PLAZA # B200, Los Angeles, CA 90095

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. Shital Pavawalla Ph.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 ID547416463
PECOS Enrollment IDI20170526001914
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 3

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.

Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
35 services35 patients
Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
23 services23 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
21 services21 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Nurse Practitioner (Acute Care)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Nurse Practitioner (Adult Health)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095

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 Shital Pavawalla's NPI number?

The NPI number for Shital Pavawalla is 1336400357. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Shital Pavawalla located?

Shital Pavawalla practices at 300 Medical Plaza # B200, Los Angeles, CA 90095. The listed phone number is (310) 794-1195.

What is Shital Pavawalla's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Shital Pavawalla enrolled in Medicare?

Yes. Shital Pavawalla 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 Shital Pavawalla was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.