Irwin Shelub, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C36888 Issued in CA

Practice address

4975 Iron Springs Rd
Creston, CA 93432-9794

Phone

(650) 520-0635

NPI assigned

Jul 1, 2006

Last updated

Jan 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Daly City Hospitalist Group, Inc.

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1932374501
  NPD (past) Authorized official
• Peninsula Pulmonary

  • Pulmonary Disease Physician
  • Daly City, CA
  • NPI 1215041819
  NPD
• Cogent Healthcare of Daly City, P.C.

  • Internal Medicine Physician
  • Daly City, CA
  • NPI 1568794881
  NPD (past)
• Palo Alto Medical Foundation

  dba Sutter Sant Cruz Main 4th Floor

  • Non-Pharmacy Dispensing Site
  • Santa Cruz, CA
  • NPI 1114182649
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1104855246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 IRON SPRINGS RD",
            "city": "CRESTON",
            "state": "CA",
            "postal_code": "934329794",
            "telephone_number": "650-520-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 IRON SPRINGS RD",
            "city": "CRESTON",
            "state": "CA",
            "postal_code": "934329794",
            "telephone_number": "650-520-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELUB",
        "first_name": "IRWIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C36888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.