MS. KAILI JI SHUMILAK D.O.
NPI 1831489855
Family Medicine in Northridge, CA
About Ms. Kaili Ji Shumilak D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAILI JI SHUMILAK D.O. (NPI 1831489855) is an individual family medicine provider in Northridge, California, licensed in California (12796) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kaili Ji Shumilak D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
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 Kaili Shumilak's NPI number?
The NPI number for Kaili Shumilak is 1831489855. It was assigned to this individual provider in the NPPES registry on April 11, 2011.
Where is Kaili Shumilak located?
Kaili Shumilak practices at 18406 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 993-4054.
What is Kaili Shumilak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kaili Shumilak enrolled in Medicare?
Yes. Kaili Shumilak 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.
When was this NPI record last updated?
The NPPES record for Kaili Shumilak was last updated on April 28, 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.
# Ms. Kaili Ji Shumilak, D.O. · NPI 1831489855
Family Medicine physician in Northridge, California. Individual provider, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1831489855 (Entity type: Individual)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 12796 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18406 ROSCOE BLVD, Northridge, CA 91325-4107
- **Phone:** (818) 993-4054
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1831489855) · Data from the CMS NPPES public registry.