Dr Shamsuddin Khwaja, MD - Medicare General Surgery in Fresno, CA

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Dr Shamsuddin Khwaja, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Fresno, California. He went to Boston University School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Adventist Health Physicians Network, Shamsuddin Khwaja M D Inc and his current practice location is 1201 E Herndon Ave, Valley Cardiac Surgery, Suite 107, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 435-3740.

Dr Shamsuddin Khwaja is licensed to practice in California (license number A85907) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679570527.

Contact Information

Dr Shamsuddin Khwaja, MD
1201 E Herndon Ave, Valley Cardiac Surgery, Suite 107,
Fresno, CA 93720-3238
(559) 435-3740
(559) 261-9073

Map and Direction




Physician's Profile

Full NameDr Shamsuddin Khwaja
GenderMale
SpecialityGeneral Surgery
Experience29 Years
Location1201 E Herndon Ave, Fresno, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shamsuddin Khwaja attended and graduated from Boston University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1679570527
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6901877653
  • Enrollment ID: I20040804001768

Medical Identifiers

Medical identifiers for Dr Shamsuddin Khwaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679570527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) A85907 (California)Primary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) L3718 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Regional Medical CenterFresno, CAHospital
Clovis Community Medical CenterClovis, CAHospital
Saint Agnes Medical CenterFresno, CAHospital
Adventist Health BakersfieldBakersfield, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health Physicians Network3274580972572
Shamsuddin Khwaja M D Inc57998107848

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shamsuddin Khwaja allows following entities to bill medicare on his behalf.
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633
Entity NameShamsuddin Khwaja M D Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699006650
PECOS PAC ID: 5799810784
Enrollment ID: O20100316000543
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shamsuddin Khwaja is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shamsuddin Khwaja, MD
1400 Ambassador St, Apt. 111,
Los Angeles, CA 90035-2858

Ph: (310) 551-2772		Dr Shamsuddin Khwaja, MD
1201 E Herndon Ave, Valley Cardiac Surgery, Suite 107,
Fresno, CA 93720-3238

Ph: (559) 435-3740

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Fresno, CA

Dr. Ramesh B Pamula, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 7085 N Chestnut Ave Ste 103, Fresno, CA 93720
Phone: 559-935-5491    Fax: 559-935-5719
Joe Randolph Bolton, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1377 E Herndon Ave, #104, Fresno, CA 93720
Phone: 559-450-7455    Fax: 559-450-7473
Mr. Robert D Stewart, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 30 E River Park Pl W, #260, Fresno, CA 93720
Phone: 559-441-1777    Fax: 559-441-0726
Mr. Peter Lawrence Birnbaum, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1377 E Herndon Ave, Suite 104, Fresno, CA 93720
Phone: 559-450-7455    Fax: 559-450-7473
Paul Stefanacci, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2365 E Fir Ave, Fresno, CA 93720
Phone: 559-797-9000    Fax: 559-797-9005
Richard Donald Gregory, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1377 E Herndon Ave Ste 104, Fresno, CA 93720
Phone: 559-450-7455    Fax: 559-450-7473

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.