SHAMA ANN JESUDASON MD
NPI 1881638575
Family Medicine in Marina, CA

Active since June 15, 2006PECOS Enrolled
77.81/100
CMS Quality Rating
2930 2ND AVE STE 200, MARINA, CA 93933(831) 582-2100(831) 886-1529 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1881638575
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHAMA ANN JESUDASONCredential: MD
Location Address2930 2ND AVE STE 200Marina, CA 93933-6244
Mailing Address100 Wilson Rd Ste 100Monterey, CA 93940-7885 · (831) 649-1000 · Fax (831) 649-4962
Fax(831) 886-1529
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 22, 2019
NPI 1881638575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · C160378
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2930 2ND AVE STE 200, Marina, CA 93933

Secondary Practice Location 1

Location 1201 S Linn AveNew Hampton, IA 50659-2019 · Phone (641) 394-2151 · Fax (641) 394-3150

Other Identifiers 1

Medicaid0469916IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shama Ann Jesudason Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.99
Promoting Interoperability100
Improvement Activities40
Cost57.04

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims23 services$6.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Family Medicine
2930 2ND AVE STE 200
MARINA, CA 93933
Family Medicine
2930 2ND AVE STE 200
MARINA, CA 93933
Obstetrics & Gynecology
2930 2ND AVE STE 200
MARINA, CA 93933
Physician Assistant
2930 2ND AVE STE 200
MARINA, CA 93933
Nurse Practitioner (Family)
2930 2ND AVE STE 200
MARINA, CA 93933
Family Medicine
2930 2ND AVE STE 200
MARINA, CA 93933
Family Medicine
2930 2ND AVE STE 200
MARINA, CA 93933
Family Medicine
2930 2ND AVE STE 200
MARINA, CA 93933

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.

When was this NPI record last updated?

The NPPES record for Shama Jesudason was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.