DR. SRUJAL HARSHAD SHAH DDS, DABDSM, DASBA
NPI 1457684623
Dentist in San Jose, CA

Q: What is Srujal Shah's NPI number?

The NPI number for Srujal Shah is 1457684623. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Q: What is Srujal Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Srujal Shah was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 04, 2009PECOS Enrolled

6120 HELLYER AVE STE 125, SAN JOSE, CA 95138(408) 490-0182(408) 624-4545 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2023, Oct 27, 2022 (2 updates tracked since 2022).

On this page

About Dr. Srujal Harshad Shah Dds, Dabdsm, Dasba NPPES

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

DR. SRUJAL HARSHAD SHAH DDS, DABDSM, DASBA (NPI 1457684623) is an individual dentist in San Jose, California, licensed in California (58754) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2008).

NPPES Registry Identity

NPI1457684623

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SRUJAL HARSHAD SHAHCredential: DDS, DABDSM, DASBA

Location Address6120 HELLYER AVE STE 125San Jose, CA 95138-1066

Mailing Address6120 Hellyer Ave Ste 125San Jose, CA 95138-1066 · (408) 490-0182 · Fax (408) 624-4545

Phone(408) 490-0182

Fax(408) 624-4545

Sole ProprietorNo

Medical School CMSUniv Of Calif, Los Angeles School Of DentistryGraduated 2008

Enumeration DateSeptember 4, 2009

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1457684623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 58754

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.

Also ListedDentist · Orofacial PainTaxonomy 1223X2210X · License 58754 (CA)

6120 HELLYER AVE STE 125, San Jose, CA 95138

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1825 Pollard Rd Ste 100Los Gatos, CA 95032-1435 · Phone (408) 490-0182 · Fax (408) 624-4545

Location 24340 Scotts Valley Dr Ste HScotts Valley, CA 95066-4541 · Phone (408) 490-0182 · Fax (408) 624-4545

Location 31081 Market Pl Ste 100San Ramon, CA 94583-4749 · Phone (408) 490-0182 · Fax (408) 624-4545

Location 4101 Wilson RdMonterey, CA 93940-7864 · Phone (408) 490-0182 · Fax (408) 624-4545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Srujal Harshad Shah Dds, Dabdsm, Dasba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638365893

PECOS Enrollment IDI20120918000777

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 Reassignment

Medicare enrollment records show Srujal Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Srujal H Shah DDS Inc

Same address

Oral and Maxillofacial Surgery

6120 HELLYER AVE STE 125
San Jose, CA 95138

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

NPI 1639480973 (408) 490-0182

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95138 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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 4

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

DR. JENELLE ASHA JINDAL M. D.

Psychiatry & Neurology (Neurology)

6120 HELLYER AVE STE 125
SAN JOSE, CA 95138

Santa Clara County (650) 742-2000

JINDAL NEUROLOGY, INC.

Psychiatry & Neurology (Neurology)

6120 HELLYER AVE STE 125
SAN JOSE, CA 95138

Santa Clara County (408) 913-9771

DR SRUJAL H SHAH DDS INC

Dentist (Oral and Maxillofacial Surgery)

6120 HELLYER AVE STE 125
SAN JOSE, CA 95138

Santa Clara County (408) 490-0182

MAHDOKHT YOUSEFIAN DDS INC.

Dentist

6120 HELLYER AVE STE 125
SAN JOSE, CA 95138

Santa Clara County (408) 490-0182

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 Srujal Shah's NPI number?

The NPI number for Srujal Shah is 1457684623. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Srujal Shah located?

Srujal Shah practices at 6120 Hellyer Ave Ste 125, San Jose, CA 95138. The listed phone number is (408) 490-0182.

What is Srujal Shah's specialty?

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

Is Srujal Shah enrolled in Medicare?

Yes. Srujal Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Srujal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srujal Shah reassigns Medicare benefits to Dr Srujal H Shah DDS Inc (San Jose, CA). 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 Srujal Shah'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 Srujal Shah was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.