SHAMA ANN JESUDASON MD
NPI 1881638575
Family Medicine in Marina, CA
About Shama Ann Jesudason Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMA ANN JESUDASON MD (NPI 1881638575) is an individual family medicine provider in Marina, California, licensed in California (C160378) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Hampton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 (PECOS)
Shama Ann Jesudason Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shama Jesudason reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Carmel, CA 93923
- Reassigned Medicare billing, California enrollment
- 155 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 93933 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shama Jesudason's NPI number?
The NPI number for Shama Jesudason is 1881638575. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Shama Jesudason located?
Shama Jesudason practices at 2930 2nd Ave Ste 200, Marina, CA 93933. The listed phone number is (831) 582-2100.
What is Shama Jesudason's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shama Jesudason enrolled in Medicare?
Yes. Shama Jesudason is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shama Jesudason's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shama Jesudason reassigns Medicare benefits to 2 organizations: Monterey Hospitalist Medical Group (Monterey, CA) and Montage Medical Group (Carmel, 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 Shama Jesudason'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 Shama Jesudason was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shama Ann Jesudason, MD · NPI 1881638575
Family Medicine physician in Marina, California. Individual provider, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1881638575 (Entity type: Individual)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** C160378 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2930 2ND AVE STE 200, Marina, CA 93933-6244
- **Phone:** (831) 582-2100 · **Fax:** (831) 886-1529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Monterey Hospitalist Medical Group (NPI 1043321623, Monterey, CA); Montage Medical Group (NPI 1770710709, Carmel, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2019
- **Other identifiers:** Medicaid 0469916 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1881638575) · Data from the CMS NPPES public registry.