VIVEK SHETTY DDS, DR.MED.DENT.
NPI 1851417737
Oral & Maxillofacial Surgery in Los Angeles, CA
About Vivek Shetty Dds, Dr.med.dent. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVEK SHETTY DDS, DR.MED.DENT. (NPI 1851417737) is an individual oral & maxillofacial surgery provider in Los Angeles, California, licensed in California (41040) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Vivek Shetty Dds, Dr.med.dent. 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
2Medicare enrollment records show Vivek Shetty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 128 clinicians in this Medicare group
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 8 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Vivek Shetty's NPI number?
The NPI number for Vivek Shetty is 1851417737. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Vivek Shetty located?
Vivek Shetty practices at 10833 Le Conte Ave Suite Ao-156, Los Angeles, CA 90095. The listed phone number is (310) 825-0834.
What is Vivek Shetty's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Vivek Shetty enrolled in Medicare?
Yes. Vivek Shetty 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 Vivek Shetty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivek Shetty reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (Los Angeles, CA) and The Regents Of The University Of California (Los Angeles, 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 Vivek Shetty'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 Vivek Shetty was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Vivek Shetty, DDS, DR.MED.DENT. · NPI 1851417737
Oral & Maxillofacial Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1851417737 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 41040 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, SUITE AO-156, Los Angeles, CA 90095-1668
- **Phone:** (310) 825-0834
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1104644988, Los Angeles, CA); The Regents Of The University Of California (NPI 1689692303, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** January 20, 2015
- **Other identifiers:** Medicare PIN FI575Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1851417737) · Data from the CMS NPPES public registry.