Individual provider Active NPI

Sheldon Meshulam, MD

  • Gastroenterology Physician
  • Arcata, CA
National Provider Identifier
1184720740
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G66299 Issued in CA
Practice address
3798 Janes Rd
Suite 20
Arcata, CA 95521-4753
Phone
(707) 826-8225
Fax
(707) 826-8238
NPI assigned
Sep 14, 2006
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G66299 CA Primary

Addresses

Primary practice location

3798 Janes Rd
Suite 20
Arcata, CA 95521-4753

Mailing address

3798 Janes Rd
Suite 20
Arcata, CA 95521-4753
Phone (707) 826-8225

Other identifiers 1

IdentifierTypeStateIssuer
00G662990MedicaidCA

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
I20080520000288 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7719076280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Sutter Coast HospitalGroup PAC ID 9436148111, 29 clinicians

Practice addresses (Care Compare)

780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
72.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66299CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Pacific Cardiology Medical CurrentSince Dec 1, 2014 Accepting new patients
Sutter Coast Hospital CurrentSince May 15, 2023 Accepting new patients
Sutter Coast Hospital Current Accepting new patients

Locations

3798 Janes Rd
Arcata, CA 95521
Phone (707) 443-8335

3798 Janes Rd
Ste 20
Arcata, CA 95521
Phone (707) 822-4894

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

780 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-5974

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

Interoperability endpoints

  • Direct secure messaging: smeshulam246495@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1184720740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "SUITE 20",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-826-8225",
            "fax_number": "707-826-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "SUITE 20",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-826-8225",
            "fax_number": "707-826-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHULAM",
        "first_name": "SHELDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G66299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G662990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.