NPIMap

Individual provider Active NPI

Kavian Shahi, M.D., PH.D.

  • Neurological Surgery Physician
  • Roseville, CA
National Provider Identifier
1174509418
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G86147 Issued in CA
Practice address
1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3043
Phone
(916) 771-3300
Fax
(916) 771-3443
NPI assigned
Dec 19, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G86147 CA Primary

Addresses

Primary practice location

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3043

Mailing address

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3043
Phone (916) 771-3300

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
I20041006000533 CA Practitioner - NeurosurgeryPractitioner - Other (Physician)Practitioner - Internal MedicinePractitioner - Neurology 0749249845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
B Barry Chehrazi MD IncGroup PAC ID 9032178124, 3 clinicians
Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians

Practice addresses (Care Compare)

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3096
Phone (916) 773-8700

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3102
Phone (916) 771-3300

4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion99
Laminectomy or laminotomy (partial removal of spine bones)61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86147CAMDPharmacist
G86147CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B Barry Chehrazi MD Inc Neurological Surgery CurrentSince Apr 15, 2004 Accepting new patients
Telen Medical, a Medical Corporation CurrentSince Jan 1, 2008 Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

1301 Secret Ravine Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-3300

Interoperability endpoints

  • Direct secure messaging: kshahi236346@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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 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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174509418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PKWY",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-771-3300",
            "fax_number": "916-771-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PKWY",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-771-3300",
            "fax_number": "916-771-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHI",
        "first_name": "KAVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G86147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.