Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin D Shadle, MD

Individual provider Surgery Physician · NPI 1316928070

Benjamin D Shadle, MD is a General Surgery in Roseville, California. Graduated from Ohio State University College of Medicine in 2005, 21 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Trained at
Ohio State University College of Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3 Medical Plz Ste 200
Roseville, CA 95661
Phone: (916) 773-8750
Fax: (916) 773-7963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A99595 (CA)

Record details

NPI number1316928070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 9, 2005
Last updated in NPPESOctober 19, 2016
Mailing address10470 Old Placerville Road, Suite 100, Sacramento, CA 95827-2539

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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