NPIMap

Individual provider Active NPI

Rami M Shaarawy, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
National Provider Identifier
1154494755
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A96619 Issued in CA
Practice address
21822 Sherman Way Ste 100
Canoga Park, CA 91303-1928
Phone
(818) 716-0557
Fax
(818) 716-8729
NPI assigned
Nov 15, 2006
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A96619 CA Primary

Addresses

Primary practice location

21822 Sherman Way Ste 100
Canoga Park, CA 91303-1928

Mailing address

21822 Sherman Way Ste 100
Canoga Park, CA 91303-1928
Phone (818) 716-0557

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
I20070324000164 CA Practitioner - Internal Medicine 1759485196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21822 Sherman Way
Suite 100
Canoga Park, CA 91303-1928
Phone (818) 716-0557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96619CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rami Moustafa Shaarawy M.D. Medical Internal Medicine CurrentSince Mar 24, 2007 Accepting new patients
Hospital Medicine of California Inc Internal Medicine CurrentSince Oct 21, 2021 Accepting new patients

Locations

21822 Sherman Way
Ste 100
Canoga Park, CA 91303
Phone (818) 716-0557

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rshaarawy1294212@direct.uclahealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1154494755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21822 SHERMAN WAY STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031928",
            "telephone_number": "818-716-0557",
            "fax_number": "818-716-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21822 SHERMAN WAY STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031928",
            "telephone_number": "818-716-0557",
            "fax_number": "818-716-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAARAWY",
        "first_name": "RAMI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.