JENAN NADIM SHUKRY MD
NPI 1962963447
Psychiatry & Neurology - Vascular Neurology in Rancho Mirage, CA

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
72780 COUNTRY CLUB DR STE 205, RANCHO MIRAGE, CA 92270(760) 834-3540(760) 834-3590 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2024, Jun 30, 2024, Jun 25, 2023 and 1 more (4 updates tracked since 2020).

About Jenan Nadim Shukry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENAN NADIM SHUKRY MD (NPI 1962963447) is an individual vascular neurology provider in Rancho Mirage, California, licensed in California (A198119) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2019).

NPPES Registry Identity

NPI1962963447
Entity TypeIndividualFemale
Primary Taxonomy2084V0102X
Provider Legal NameJENAN NADIM SHUKRYCredential: MD
Location Address72780 COUNTRY CLUB DR STE 205Rancho Mirage, CA 92270-4150
Mailing Address72780 Country Club Dr Ste 205Rancho Mirage, CA 92270-4150 · (760) 834-3540 · Fax (760) 834-3590
Fax(760) 834-3590
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1962963447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses Licensed in CA · A198119 Licensed in IL · 036165201
Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 125.074930 (IL)
72780 COUNTRY CLUB DR STE 205, Rancho Mirage, CA 92270

Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 834-7997 · Fax (760) 837-8928

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

Jenan Nadim Shukry Md 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.

PECOS PAC ID1658734587
PECOS Enrollment IDI20240819001251
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
117 services117 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services58 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
49 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology)
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Family Medicine
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Internal Medicine
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Psychiatry & Neurology (Neuromuscular Medicine)
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Internal Medicine
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Family Medicine
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Internal Medicine (Rheumatology)
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270
Nurse Practitioner (Family)
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA 92270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962963447, enumerated as an "individual" on March 27, 2019.

The provider is located at 72780 COUNTRY CLUB DR STE 205 RANCHO MIRAGE, CA 92270 and the phone number is (760) 834-3540.

Psychiatry & Neurology with taxonomy code 2084V0102X and a focus in Vascular Neurology.