JAMAL SHILLINGFORD NPI 1063855567

NPI Information

  • NPI: 1063855567
  • Provider Name: JAMAL SHILLINGFORD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 BON AIR RD STE 120
    LARKSPUR, CA
    ZIP 94939
  • Phone: (415) 927-5300

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NPI Details

Jamal Shillingford is an orthopaedic surgery of the spine orthopaedic surgery in Larkspur, CA with 13 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Jamal Shillingford NPI is 1063855567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2013

The provider's business location address is:

2 BON AIR RD STE 120
LARKSPUR, CA
ZIP 94939-142
Phone: (415) 927-5300

The NPI 1063855567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Fusion of spine in lower back (HCPCS:22612)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
  • Removal of growth of lower spine bone outside spine membrane (HCPCS:63267)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Closed treatment of broken spine bone with cast or brace (HCPCS:22310)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 4/15/2013 and was last updated on 8/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine51177KENTUCKYYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300013826MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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