Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHAIMA KHANDAKER MD
NPI 1487276291
Physical Medicine & Rehabilitation in San Rafael, CA

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment
4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903(415) 925-8963 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Jun 23, 2025, Mar 6, 2025 and 2 more (5 updates tracked since 2020).

About Dr. Shaima Khandaker Md NPPES

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

DR. SHAIMA KHANDAKER MD (NPI 1487276291) is an individual physical medicine & rehabilitation provider in San Rafael, California, licensed in California (A194086) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Rafael, and is a graduate of Michigan State University College Of Human Medicine (2020).

NPPES Registry Identity

NPI1487276291
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. SHAIMA KHANDAKERCredential: MD
Location Address4000 CIVIC CENTER DR STE 209San Rafael, CA 94903-5233
Mailing Address100 Ucla Medical PlzLos Angeles, CA 90024-6970
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2020
Enumeration DateMay 14, 2020
Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1487276291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in CA · A194086
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A194086 (CA)
4000 CIVIC CENTER DR STE 209, San Rafael, CA 94903

Secondary Practice Location 1

Location 199 Montecillo RdSan Rafael, CA 94903-3308 · Phone (415) 444-2000

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

Dr. Shaima Khandaker Md 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 ID5799106241
PECOS Enrollment IDI20250903004058
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 Shaima Khandaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

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.

Orthopaedic Surgery
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Surgical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Podiatrist
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Surgery (Plastic and Reconstructive Surgery)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Orthopaedic Surgery
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Medical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Podiatrist (Foot & Ankle Surgery)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Surgical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903

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 Shaima Khandaker's NPI number?

The NPI number for Shaima Khandaker is 1487276291. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Shaima Khandaker located?

Shaima Khandaker practices at 4000 Civic Center Dr Ste 209, San Rafael, CA 94903. The listed phone number is (415) 925-8963.

What is Shaima Khandaker's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Shaima Khandaker enrolled in Medicare?

Yes. Shaima Khandaker 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 Shaima Khandaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaima Khandaker reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Shaima Khandaker'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 Shaima Khandaker was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.