NPIMap

Individual provider Active NPI

Munaf A Shamji, M.D. FACC

  • Interventional Cardiology Physician
  • Van Nuys, CA
National Provider Identifier
1174587224
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G77802 Issued in CA
Practice address
16119 Vanowen St
Van Nuys, CA 91406-4822
Phone
(818) 904-6782
Fax
(818) 904-5682
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G77802 CA Primary
Cardiovascular Disease Physician 207RC0000X G77802 CA

Addresses

Primary practice location

16119 Vanowen St
Van Nuys, CA 91406-4822

Mailing address

16119 Vanowen St
Van Nuys, CA 91406-4822
Phone (818) 904-6782

Other identifiers 1

IdentifierTypeStateIssuer
00G778020MedicaidCA

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
I20040408001174 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1355335894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Medical GroupGroup PAC ID 8123202561, 8 clinicians

Practice addresses (Care Compare)

16320 Roscoe Blvd
Suite 100
Van Nuys, CA 91406-1216
Phone (818) 904-6782

Hospital & facility affiliations

  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as group
Quality
92.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
73.42
Promoting interoperability
98
Improvement activities
40
Cost
65.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77802CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Associates Medical Group, Inc Cardiovascular Disease Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1174587224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16119 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064822",
            "telephone_number": "818-904-6782",
            "fax_number": "818-904-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16119 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064822",
            "telephone_number": "818-904-6782",
            "fax_number": "818-904-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMJI",
        "first_name": "MUNAF",
        "middle_name": "A",
        "credential": "M.D. FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G77802",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G77802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G778020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.