SCHARUKH JALISI M.D., MA
NPI 1720040058
Otolaryngology in Boston, MA
About Scharukh Jalisi M.d., Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCHARUKH JALISI M.D., MA (NPI 1720040058) is an individual otolaryngology provider in Boston, Massachusetts, licensed in Massachusetts (223941) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Boston University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Scharukh Jalisi M.d., Ma 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.
Medicare Billing Reassignments
3Medicare enrollment records show Scharukh Jalisi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1720037385 (Massachusetts)
- 2,579 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 16 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 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.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beth Israel Deaconess Hospital Plymouth
Acute Care Hospitals · Plymouth, MABeth Israel Deaconess Hospital - Needham
Acute Care Hospitals · Needham, MABeth Israel Deaconess Medical Center
Acute Care Hospitals · Boston, MABeth Israel Deaconess Hospital - Milton
Acute Care Hospitals · Milton, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Scharukh Jalisi's NPI number?
The NPI number for Scharukh Jalisi is 1720040058. It was assigned to this individual provider in the NPPES registry on April 3, 2006.
Where is Scharukh Jalisi located?
Scharukh Jalisi practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 732-7500.
What is Scharukh Jalisi's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Scharukh Jalisi enrolled in Medicare?
Yes. Scharukh Jalisi 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 Scharukh Jalisi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scharukh Jalisi reassigns Medicare benefits to 3 organizations: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA), Drx Uc Watertown PC (Watertown, MA) and Steward Medical Group, Inc (Watertown, MA). 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 Scharukh Jalisi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scharukh Jalisi accept?
Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Scharukh Jalisi 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.
Is Scharukh Jalisi affiliated with any hospitals?
According to CMS data, Scharukh Jalisi is affiliated with Beth Israel Deaconess Hospital Plymouth, Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and Beth Israel Deaconess Hospital - Milton.
When was this NPI record last updated?
The NPPES record for Scharukh Jalisi was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Scharukh Jalisi, M.D., MA · NPI 1720040058
Otolaryngology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1720040058 (Entity type: Individual)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 223941 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BROOKLINE AVE, Boston, MA 02215-5400
- **Phone:** (617) 732-7500 · **Fax:** (617) 638-7522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA); Drx Uc Watertown PC (NPI 1164772299, Watertown, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** May 4, 2024
- **Other identifiers:** Medicaid 2104792 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720040058) · Data from the CMS NPPES public registry.