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SHADY ASHAMALLA DDS
NPI 1427428374
Dentist in Titusville, FL

Active since October 05, 2015PECOS Enrolled
3245 GARDEN ST, TITUSVILLE, FL 32796(321) 269-2700 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2021, Jul 11, 2020, Mar 20, 2016 (3 updates tracked since 2016).

About Shady Ashamalla Dds NPPES

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

SHADY ASHAMALLA DDS (NPI 1427428374) is an individual dentist in Titusville, Florida, licensed in Florida (24595) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427428374
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSHADY ASHAMALLACredential: DDS
Location Address3245 GARDEN STTitusville, FL 32796-3004
Mailing Address4951 S Washington Ave # 32780Titusville, FL 32780-7319 · (602) 481-0153
Phone(321) 269-2700
Sole ProprietorNo
Enumeration DateOctober 5, 2015
Last NPPES UpdateAugust 8, 20213 updates tracked since enumeration
NPPES CertifiedAugust 8, 2021
✔ NPI 1427428374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · 24595✔ Licensed in NC · 10238
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3245 GARDEN ST, Titusville, FL 32796
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shady Ashamalla Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32796 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 9

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

ANTHONY CAVALLI
Dentist (General Practice)
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700
DR. LONG N. HOANG DMD
Dentist (General Practice)
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700
DEVESHKUMAR SHUKLA DDS
Dentist
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (647) 404-8532
NADIA SULIEMAN DMD
Dentist (General Practice)
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700
COAST FLORIDA P.A.
Dentist
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700
DR. JAMES PRICE HARRISON DDS
Dentist
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700
OTERIA MICHELLE EXUM RDH
Dental Hygienist
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700
DR. MIRALYS MICHELLE CHARDON DDS
Dentist
3245 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-2700

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 Shady Ashamalla's NPI number?

The NPI number for Shady Ashamalla is 1427428374. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Shady Ashamalla located?

Shady Ashamalla practices at 3245 Garden St, Titusville, FL 32796. The listed phone number is (321) 269-2700.

What is Shady Ashamalla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shady Ashamalla enrolled in Medicare?

Yes. Shady Ashamalla is registered in the Medicare PECOS enrollment system.

What insurance does Shady Ashamalla accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Shady Ashamalla 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 Shady Ashamalla was last updated on August 8, 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.