Individual provider Active NPI

Shelby Nicole Morrisroe, M.D.

  • Urology Physician
  • Torrance, CA
National Provider Identifier
1164666228
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A106800 Issued in CA
Practice address
20911 Earl St
Suite 140
Torrance, CA 90503-4352
Phone
(310) 542-0199
Fax
(310) 542-4652
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A106800 CA Primary

Addresses

Primary practice location

20911 Earl St
Suite 140
Torrance, CA 90503-4352

Mailing address

20911 Earl St
Suite 140
Torrance, CA 90503-4352
Phone (310) 542-0199

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000358 CA Practitioner - Urology 8921154741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

20911 Earl St
Suite 140
Torrance, CA 90503-4353
Phone (310) 542-0199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106800CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC Urology CurrentSince Apr 1, 2021 Accepting new patients
Urology Institute of the South Bay Urology Current Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

3445 Pacific Coast Hwy
Ste 310
Torrance, CA 90505
Phone (310) 370-1200

20911 Earl St
Ste 140
Torrance, CA 90503
Phone (310) 542-0199

2927 Lomita Blvd
Ste B
Torrance, CA 90505
Phone 42421245804575

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shelby.morrisroe.1@3663.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1164666228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "SUITE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-542-0199",
            "fax_number": "310-542-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "SUITE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-542-0199",
            "fax_number": "310-542-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISROE",
        "first_name": "SHELBY",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A106800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.