Active NPI
Shumyle Alam, M.D.
- Pediatric Urology Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- C201275
- Practice address
- 9300 Valley Childrens PL # 16
Madera, CA 93636-8761 - Phone
- (559) 353-6195
- NPI assigned
- Mar 20, 2007
- Last updated
- Mar 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C201275 | CA | MD | Pediatric Urology Physician |
| 272913-1 | NY | MD | Pediatric Urology Physician |
| 35.086578 | OH | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | 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
- 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.
-
dba Norton Children's Behavioral and Mental Health
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- NPI 1457999096
-
dba MUSC Physicians
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-
dba Norton Children's Urology
- Pediatric Urology Physician
- Louisville, KY
- NPI 1538700869
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
dba MUSC Physicians
- Internal Medicine Physician
- Charleston, SC
- NPI 1750432704
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.