NPIMap

Individual provider Active NPI

Anoop Shah, MD

  • Gastroenterology Physician
  • Long Beach, CA
National Provider Identifier
1154492361
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A91301 Issued in CA
Practice address
1045 Atlantic Ave
Suite 712
Long Beach, CA 90813-3408
Phone
(562) 491-4879
Fax
(562) 491-7987
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A91301 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave
Suite 712
Long Beach, CA 90813-3408

Mailing address

1045 Atlantic Ave
Suite 712
Long Beach, CA 90813-3408

Other identifiers 1

IdentifierTypeStateIssuer
00A913010MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000639 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9335198969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1045 Atlantic Ave
Suite 907
Long Beach, CA 90813-3416
Phone (310) 467-4771

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91301CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists Inc Gastroenterology CurrentSince Jun 3, 2010 Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
CHLB, LLC Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Gardena Hospital LP Past Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

1045 Atlantic Ave
Ste 907
Long Beach, CA 90813
Phone (310) 467-4771

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1154492361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 712",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 712",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-4879",
            "fax_number": "562-491-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANOOP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A91301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A913010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.