Individual provider Active NPI

Manjul Shah, MD

  • Neuroradiology Physician
  • Bakersfield, CA
National Provider Identifier
1164569182
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A49657 Issued in CA
Practice address
Truxtun Radiology Medical Group LP
1817 Truxtun Ave
Bakersfield, CA 93301
Phone
(661) 325-6800
Fax
(661) 325-4734
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A49657 CA Primary

Addresses

Primary practice location

Truxtun Radiology Medical Group LP
1817 Truxtun Ave
Bakersfield, CA 93301

Mailing address

Truxtun Radiology Medical Group LP
1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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
I20070808000000 OH Practitioner - Diagnostic Radiology 9234220179 Reassigns benefits to 1 organization
I20081229000397 CA Practitioner - Diagnostic Radiology 9234220179 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians

Practice addresses (Care Compare)

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-9023

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49657CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Radiology Physicians Services, Inc CurrentSince Aug 1, 2022 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jan 23, 2018 Accepting new patients
Kern Radiology Medical Group, Inc Current Accepting new patients
Lima Radiological Associates CurrentSince Jun 1, 2016 Accepting new patients
Radnet Medical Imaging-San Francisco CurrentSince Jan 23, 2018 Accepting new patients
Santa Rosa Imaging Medical Center CurrentSince Jan 23, 2018 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 23, 2018 Accepting new patients
Kern Radiology Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Pronet Imaging Medical Group, Inc. CurrentSince Jan 23, 2018 Accepting new patients
Premier Imaging Group, Inc Past Accepting new patients
Imaging Consultants of Findlay, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1818 16th St
Bakersfield, CA 93301
Phone (661) 616-1458

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

4000 Empire Dr
Ste 100
Bakersfield, CA 93309
Phone (661) 395-0155

9900 Stockdale Hwy
Ste 109
Bakersfield, CA 93311

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

3440 California St
San Francisco, CA 94118
Phone (415) 922-6767

3536 Mendocino Ave
Ste 280
Santa Rosa, CA 95403
Phone (707) 579-8226

333 S 10th St
Ste 104
Taft, CA 93268

2400 N Main St
Fl 1
East Peoria, IL 61611

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

L3837
Columbus, OH 43260

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1164569182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TRUXTUN RADIOLOGY MEDICAL GROUP LP",
            "address_2": "1817 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-325-6800",
            "fax_number": "661-325-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRUXTUN RADIOLOGY MEDICAL GROUP LP",
            "address_2": "1817 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-325-6800",
            "fax_number": "661-325-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANJUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A49657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.