Individual provider Active NPI

Shankha Suvra Biswas, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Upland, CA
National Provider Identifier
1043230824
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A95947 Issued in CA
Practice address
901 San Bernardino Rd Ste 102
Upland, CA 91786-4988
Phone
(951) 788-3930
Fax
(951) 788-3920
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A95947 CA Primary

Addresses

Primary practice location

901 San Bernardino Rd Ste 102
Upland, CA 91786-4988

Mailing address

4500 Brockton Ave Ste 317
Riverside, CA 92501-4028
Phone (951) 788-3930

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000540 CA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1850397811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy CT Surgery PartnershipGroup PAC ID 5698939957, 19 clinicians

Practice addresses (Care Compare)

4500 Brockton Ave
Suite 317
Riverside, CA 92501-4028
Phone (951) 788-3930

Hospital & facility affiliations

  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy CT Surgery Partnership Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 7, 2012 Accepting new patients
Dignity Health Past Accepting new patients
Cardiology Specialists Medical Group, Inc. Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Michael J del Rio MD Inc Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

4500 Brockton Ave
Ste 317
Riverside, CA 92501
Phone (951) 367-0860

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

31573 Rancho Pueblo Rd
Ste 210
Temecula, CA 92592
Phone (508) 979-0407

31537 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 579-6721

901 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 579-6721

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1043230824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 317",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014028",
            "telephone_number": "951-788-3930",
            "fax_number": "951-788-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD STE 102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864988",
            "telephone_number": "951-788-3930",
            "fax_number": "951-788-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISWAS",
        "first_name": "SHANKHA",
        "middle_name": "SUVRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A95947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.