NPIMap

Individual provider Active NPI

Shahryar Yadegar, M.D.

  • Specialist
  • Tarzana, CA
National Provider Identifier
1174546493
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233
Phone
(818) 609-7536
Fax
(818) 344-9670
NPI assigned
Jul 26, 2006
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A61475 CA
Pulmonary Disease Physician 207RP1001X A61475 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A61475 CA

Addresses

Primary practice location

18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233

Mailing address

PO Box 1133
Studio City, CA 91614-0133
Phone (310) 914-9105

Other identifiers 1

IdentifierTypeStateIssuer
00A614758MedicaidCA

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
I20050210000936 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2961453774 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Medical CorporationGroup PAC ID 0345388989, 2 clinicians
West Valley Intensivist Medical CorporationGroup PAC ID 4183995574, 4 clinicians

Practice addresses (Care Compare)

18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-6403
Phone (818) 609-7536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61475CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Sleep Labs LLC CurrentSince Jun 1, 2017 Accepting new patients
Tarzana Hospitalist Medical Corporation Specialist CurrentSince Jan 7, 2009 Accepting new patients
Pulmonary Medical Corporation Specialist CurrentSince Sep 24, 2009 Accepting new patients
Evolve Concierge CurrentSince Sep 3, 2021 Accepting new patients

Locations

18356 Clark St
Ste 101
Tarzana, CA 91356
Phone (818) 609-1991

18399 Ventura Blvd
Ste 245
Tarzana, CA 91356
Phone (818) 609-7536

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25369/brand/1/csg/1/fhir/r4
  • Direct secure messaging: s.thomas.yadegar@606990805237764.direct.elationemr.com
  • Direct secure messaging: shahyar.yadegar@525242744373252.direct.elationemr.com

Organizations & group practices 6

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 7

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1174546493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916140133",
            "telephone_number": "310-914-9105",
            "fax_number": "310-914-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD",
            "address_2": "SUITE 245",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564233",
            "telephone_number": "818-609-7536",
            "fax_number": "818-344-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADEGAR",
        "first_name": "SHAHRYAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A61475",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A61475",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A61475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A614758",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.