Look up the most recent NPI and PECOS records

Judith Shanika Pelpola

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JUDITH PELPOLA.

Based on the most recent information from CMS, provider Judith Shanika Pelpola is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1184200198
Provider Type
Individual
Full Name
Pelpola, Judith Shanika
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/20/2021
Last Updated
1/10/2025

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Mailing Location

801 Albany St Dept Of, Boston, MA 02119-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A195130 California

Judith Shanika Pelpola

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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