Active NPI
Edna Clogg Shenvi, M.D.
- Surgery Physician
- Duarte, CA
National Provider Identifier
1013178391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A127444
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010-3012 - Phone
- (626) 256-4673
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | AH 1918018-4963 | MA | |
| Surgery Physician | 208600000X | A127444 | CA | Primary |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | Direct | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127444 | CA | MD | Surgery Physician |
| AH 1918018-4963 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Surgery | Current | Accepting new patients |
Locations
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
Interoperability endpoints
- direct@cityofhope.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1013178391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DUARTE RD",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103012",
"telephone_number": "626-256-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENVI",
"first_name": "EDNA",
"middle_name": "CLOGG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "AH 1918018-4963",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A127444",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.