Individual provider Active NPI

Fadel Shammout, MD

  • Obstetrics & Gynecology Physician
  • San Ramon, CA
National Provider Identifier
1124205539
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A115139 Issued in CA
Practice address
5601 Norris Canyon Rd Ste 300
San Ramon, CA 94583-2180
Phone
(925) 587-4808
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A115139 CA Primary

Addresses

Primary practice location

5601 Norris Canyon Rd Ste 300
San Ramon, CA 94583-2180

Mailing address

5601 Norris Canyon Rd Ste 300
San Ramon, CA 94583-2180
Phone (925) 587-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20110805000529 CA Practitioner - Obstetrics/Gynecology 6800074022 Reassigns benefits to 1 organization
I20160912002299 KY Practitioner - Obstetrics/Gynecology 6800074022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

5601 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5407
Phone (925) 587-4808

6001 Norris Canyon Rd
San Ramon, CA 94583-5400
Phone (925) 275-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Aug 12, 2016 Accepting new patients
First Choice Physician Partners CurrentSince May 11, 2020 Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology CurrentSince May 11, 2020 Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology Past Accepting new patients
Adventist Health Tulare Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

5601 Norris Canyon Rd
Ste 300
San Ramon, CA 94583
Phone (925) 830-9293

5601 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 277-3070

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005

800 Rose St
#C375
Lexington, KY 40536
Phone (859) 323-0005

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Interoperability endpoints

  • Direct secure messaging: fadel.shammout.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 7

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 2

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1124205539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD STE 300",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832180",
            "telephone_number": "925-587-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD STE 300",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832180",
            "telephone_number": "925-587-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMOUT",
        "first_name": "FADEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A115139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.