DR. KELLY SHANA SHINTANI OD
NPI 1902973027
Optometrist in Orinda, CA
About Dr. Kelly Shana Shintani Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY SHANA SHINTANI OD (NPI 1902973027) is an individual optometrist in Orinda, California, licensed in California (11395T) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Kelly Shana Shintani Od 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 Kelly Shintani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94563 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.
Other Providers at the Same Location NPPES 3
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 Kelly Shintani's NPI number?
The NPI number for Kelly Shintani is 1902973027. It was assigned to this individual provider in the NPPES registry on November 30, 2006.
Where is Kelly Shintani located?
Kelly Shintani practices at 20 Orinda Way, Orinda, CA 94563. The listed phone number is (925) 253-1320.
What is Kelly Shintani's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelly Shintani enrolled in Medicare?
Yes. Kelly Shintani 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 Kelly Shintani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shintani reassigns Medicare benefits to 2 organizations: Orinda Optometry Group, Inc (Orinda, CA) and Permanente Medical Group Inc (Richmond, 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 Kelly Shintani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Shintani accept?
Health plans from Providence Health Plan list Kelly Shintani 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.
When was this NPI record last updated?
The NPPES record for Kelly Shintani was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Kelly Shana Shintani, OD · NPI 1902973027
Optometrist provider in Orinda, California. Individual provider, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1902973027 (Entity type: Individual)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 11395T (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 ORINDA WAY, Orinda, CA 94563-2519
- **Phone:** (925) 253-1320 · **Fax:** (925) 253-1939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Orinda Optometry Group, Inc (NPI 1487843652, Orinda, CA); Permanente Medical Group Inc (NPI 1235226531, Richmond, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Other CI226Z (CA); Other 1487843652 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902973027) · Data from the CMS NPPES public registry.