Individual provider Active NPI

Shumyle Alam, M.D.

  • Pediatric Urology Physician
  • Madera, CA
National Provider Identifier
1073638870
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
C201275 Issued in CA
Practice address
9300 Valley Childrens PL # 16
Madera, CA 93636-8761
Phone
(559) 353-6195
NPI assigned
Mar 20, 2007
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X C201275 CA Primary
Pediatric Urology Physician 2088P0231X 272913-1 NY
Pediatric Urology Physician 2088P0231X 35.086578 OH

Addresses

Primary practice location

9300 Valley Childrens PL # 16
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL # 16
Madera, CA 93636-8761
Phone (559) 353-6195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181023002763 SC Practitioner - Urology 3274630330 Reassigns benefits to 1 organization
I20220915001774 KY Practitioner - Urology 3274630330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C201275CAMDPediatric Urology Physician
272913-1NYMDPediatric Urology Physician
35.086578OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC Pediatric Urology CurrentSince Oct 1, 2022 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Aug 9, 2018 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Aug 9, 2018 Accepting new patients
Valley Children's Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: shumyle.alam.1@26814.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1073638870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # 16",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # 16",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SHUMYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "C201275",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "272913-1",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "35.086578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.