SHUBIR DUTT
NPI 1699667584
Psychologist - Clinical in San Francisco, CA

Active since July 16, 2025PECOS EnrolledAccepts Medicare Assignment
1651 4TH ST STE 212, SAN FRANCISCO, CA 94158(415) 353-2057 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shubir Dutt NPPES

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

SHUBIR DUTT (NPI 1699667584) is an individual clinical provider in San Francisco, California, licensed in California (35988) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699667584
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameSHUBIR DUTT
Location Address1651 4TH ST STE 212San Francisco, CA 94158-2324
Mailing Address675 Nelson Rising Ln Ste 190San Francisco, CA 94143-0003
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1699667584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 35988
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
1651 4TH ST STE 212, San Francisco, CA 94158

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

Shubir Dutt 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 ID7416456207
PECOS Enrollment IDI20250819001307
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

4

Medicare enrollment records show Shubir Dutt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94158 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 11

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

Clinical Neuropsychologist
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Psychiatry & Neurology (Neurology)
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Psychiatry & Neurology (Neurology)
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Clinical Neuropsychologist
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Nurse Practitioner (Psychiatric/Mental Health)
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Social Worker (Clinical)
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Psychiatry & Neurology (Neurology)
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158
Psychologist (Clinical)
1651 4TH ST STE 212
SAN FRANCISCO, CA 94158

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 Shubir Dutt's NPI number?

The NPI number for Shubir Dutt is 1699667584. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Shubir Dutt located?

Shubir Dutt practices at 1651 4th St Ste 212, San Francisco, CA 94158. The listed phone number is (415) 353-2057.

What is Shubir Dutt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shubir Dutt enrolled in Medicare?

Yes. Shubir Dutt 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 organizations bill Medicare for Shubir Dutt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shubir Dutt reassigns Medicare benefits to 4 organizations: Regents Of The University Of California (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Shubir Dutt'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 Shubir Dutt was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.