Active NPI
Shrey Kanjiya, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A168099
- Practice address
- 6801 Park Ter # 140
Los Angeles, CA 90045-1543 - Phone
- (310) 665-7200
- NPI assigned
- Apr 8, 2015
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A168099 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A168099 | CA | Primary |
Addresses
Primary practice location
6801 Park Ter # 140
Los Angeles, CA 90045-1543
Mailing address
Stony Brook Univ Med Center Department of
HSC T-18
Stony Brook, NY 11794-8181
Phone (631) 444-1487
Other practice location 1
Stony Brook Univ Med Center Department Of
HSC T-18
Stony Brook, NY 11794-8181
Phone (631) 444-1487
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 Compare- Specialty
- Sports Medicine
- Education
- University of Vermont College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1839
Phone 8189052222205
Hospital & facility affiliations
- Americare Home Health, Inc
- Valley Hills Home Health Care, Inc
- Northridge Hospital Medical Center
- Sherman Oaks Hospital
- Providence Cedars Sinai Tarzana Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.93 of 100
- Quality
- 83.47
- Improvement activities
- 40
- Cost
- 61.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 18 |
| Knee replacement | 18 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168099 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domenick J Sisto M D Inc | Current | Accepting new patients |
Locations
38660 Medical Center Dr
Ste A250
Palmdale, CA 93551
Phone (661) 267-7777
21064 Centre Pointe Pkwy
Santa Clarita, CA 91350
4955 Van Nuys Blvd
Ste 615
Sherman Oaks, CA 91403
Phone (818) 905-2222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJEEDD
- https://fhir4.healow.com/fhir/r4/GJEEDD/Endpoint/GJEEDD
- skanjiya@laoi1795.srs-direct.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.
-
- Specialist
- Palmdale, CA
- NPI 1710941539
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1033460795
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Sherman Oaks, CA
- NPI 1750491247
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
-
- Home Health Agency
- Encino, CA
- NPI 1659790939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1104212083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STONY BROOK UNIV MED CENTER DEPARTMENT OF",
"address_2": "HSC T-18",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948181",
"telephone_number": "631-444-1487",
"fax_number": "631-444-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 PARK TER # 140",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900451543",
"telephone_number": "310-665-7200"
}
],
"practiceLocations": [
{
"address_1": "Stony Brook Univ Med Center Department Of",
"address_2": "HSC T-18",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117948181",
"country_code": "US",
"telephone_number": "631-444-1487",
"fax_number": "631-444-3502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANJIYA",
"first_name": "SHREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A168099",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A168099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.