HASMUKH L. SHETH MD
NPI 1396812236
Pediatrics in San Ysidro, CA

Q: What is Hasmukh Sheth's NPI number?

The NPI number for Hasmukh Sheth is 1396812236. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Hasmukh Sheth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Hasmukh Sheth was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 29, 2006PECOS Enrolled

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2021, Jan 11, 2016 (2 updates tracked since 2016).

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About Hasmukh L. Sheth Md NPPES

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

HASMUKH L. SHETH MD (NPI 1396812236) is an individual pediatrics provider in San Ysidro, California, licensed in California (A45942) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396812236

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameHASMUKH L. SHETHCredential: MD

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address1275 30th StSan Diego, CA 92154-3476 · (619) 662-4100

Phone(619) 662-4100

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration

✔ NPI 1396812236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A45942

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4004 BEYER BLVD, San Ysidro, CA 92173

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hasmukh L. Sheth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Hasmukh Sheth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Federally Qualified Health Center (FQHC)

4004 BEYER BLVD
San Ysidro, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1164641965 (619) 662-4100

Southern California Permanente Medical Group

16 mi

Health Maintenance Organization

1288 CAMINO DEL RIO N
San Diego, CA 92108

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1023425972 (877) 608-0044

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 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)