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SHIDEH N. SHADAN MD
NPI 1497827224
Hospitalist in San Rafael, CA

Active since November 15, 2006PECOS Enrolled
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shideh N. Shadan Md NPPES

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

SHIDEH N. SHADAN MD (NPI 1497827224) is an individual hospitalist provider in San Rafael, California, licensed in California (A77591) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497827224
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHIDEH N. SHADANCredential: MD
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(415) 444-2000
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1497827224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A77591
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
99 MONTECILLO RD, San Rafael, CA 94903
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Other Names 1

Other Name (5)Shideh Nikzad Farrokhy

Other Identifiers 1

Medicaid00A775910CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shideh N. Shadan 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

2

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

Permanente Medical Group Inc
12 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
2,418 mi
Health Maintenance Organization
19450 DEERFIELD AVE
Lansdowne, VA 20176
NPI 1225156367 (703) 726-2100

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 94903 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

MS. MARTA JUDY FRIEDMAN LCSW, JD
Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-4396
DR. DAVID GREGORY MOSKOWITZ M.D.
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2939
MICHELLE S. PARAISO MD
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
CHERYL KAHN MD
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
PETER REIDY MD
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-4885
MRS. JENNIFER KATE MOORE CCC SLP
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 889-3833
INNA YAKOVLEVNA SHEINSON MD
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
JENNIFER ALEXANDRIA CLARK
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (925) 229-7693

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 Shideh Shadan's NPI number?

The NPI number for Shideh Shadan is 1497827224. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Shideh Nikzad Farrokhy.

Where is Shideh Shadan located?

Shideh Shadan practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Shideh Shadan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shideh Shadan enrolled in Medicare?

Yes. Shideh Shadan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shideh Shadan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shideh Shadan reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Richmond, CA) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA). Each 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 Shideh Shadan'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 Shideh Shadan was last updated on July 31, 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.