Active NPI
Govind Shantharam, MD
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A199668
- Practice address
- 111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824 - Phone
- (215) 955-2370
- NPI assigned
- Mar 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A199668 | CA | Primary |
Addresses
Primary practice location
111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824
Phone (215) 955-2370
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
- Anesthesiology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24451 Health Ctr Dr
Laguna Hills, CA 92653-3689
Phone (949) 837-4500
26357 McBean Pkwy
Suite 100
Santa Clarita, CA 91355-4489
Phone (661) 799-8300
Hospital & facility affiliations
- Memorialcare Saddleback Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A199668 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| California Anesthesia Associates Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
24451 Health Center Dr
#104
Laguna Hills, CA 92653
2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300
Interoperability endpoints
- gshantharam897150@direct.memorialcare.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Long Beach, CA
- NPI 1457399933
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Valencia, CA
- NPI 1396423067
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1124604897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 8290",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 8290",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANTHARAM",
"first_name": "GOVIND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A199668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.