Shadelands Advanced Endoscopy Institute, LLC
NPI 1184798837 · Ambulatory Surgical Clinic/Center · Walnut Creek, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shadelands Advanced Endoscopy Institute, LLC is a Ambulatory Surgical Clinic/Center organization in Walnut Creek, CA (NPI 1184798837).
Provider details
- NPI number
- 1184798837
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
877 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 260 | $612 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 224 | $480 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 223 | $807 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 55 | $639 |
| Removal of Large Bowel Tissue Using a Flexible Endoscope45390 | 25 | $1,887 |
| Balloon Dilation of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope, Less Than 3.0 Cm |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Shadelands Advanced Endoscopy Institute, LLC's NPI number?
- Shadelands Advanced Endoscopy Institute, LLC's National Provider Identifier (NPI) is 1184798837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadelands Advanced Endoscopy Institute, LLC?
- Shadelands Advanced Endoscopy Institute, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shadelands Advanced Endoscopy Institute, LLC located?
- Shadelands Advanced Endoscopy Institute, LLC's practice location on file with NPPES is 498 N Wiget Ln, Walnut Creek, CA 94598-2408.
- What is Shadelands Advanced Endoscopy Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shadelands Advanced Endoscopy Institute, LLC is (925) 933-3600.
- Does Shadelands Advanced Endoscopy Institute, LLC accept Medicare?
- Shadelands Advanced Endoscopy Institute, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shadelands Advanced Endoscopy Institute, LLC?
- The authorized official listed on Shadelands Advanced Endoscopy Institute, LLC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadelands Advanced Endoscopy Institute, LLC's NPI active?
- Yes — Shadelands Advanced Endoscopy Institute, LLC's NPI (1184798837) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.