Individual provider Active NPI

Raymond Michael Shaheen I, M.D., F.A.C.S.

  • Vascular Surgery Physician
  • Mountain View, CA
National Provider Identifier
1114997434
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A63071 Issued in CA
Practice address
305 South Dr
Suite 7
Mountain View, CA 94040-4200
Phone
(650) 965-1909
Fax
(650) 965-1944
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A63071 CA Primary

Addresses

Primary practice location

305 South Dr
Suite 7
Mountain View, CA 94040-4200

Mailing address

305 South Dr
Suite 7
Mountain View, CA 94040-4200
Phone (650) 965-1909

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
I20041008001406 CA Practitioner - Vascular SurgeryPractitioner - Peripheral Vascular Disease 0941269344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Peripheral Vascular Disease
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

305 S Dr
Suite 7
Mountain View, CA 94040-4207
Phone (650) 965-1909

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
73.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)16
Varicose vein removal166
Removal of tissue176
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond M Shaheen MD Inc CurrentSince Jan 1, 2008 Accepting new patients
Sharon Wesley, MD Inc Past Accepting new patients

Locations

835 Cass St
Monterey, CA 93940
Phone (831) 649-0350

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

525 South Dr
Ste 207
Mountain View, CA 94040
Phone (650) 796-9006

305 South Dr
Ste 7
Mountain View, CA 94040
Phone (650) 938-6600

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1114997434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SOUTH DR",
            "address_2": "SUITE 7",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404200",
            "telephone_number": "650-965-1909",
            "fax_number": "650-965-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SOUTH DR",
            "address_2": "SUITE 7",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404200",
            "telephone_number": "650-965-1909",
            "fax_number": "650-965-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A63071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.