Fred Melek Shalom, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A33545 Issued in CA

Practice address

3010 W Orange Ave
Suite 506
Anaheim, CA 92804-3169

Phone

(714) 220-0263

Fax

(714) 952-2968

NPI assigned

Oct 27, 2005

Last updated

Jul 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fereydoon Melek Shalom Former name

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manuel E Sipowicz MD Inc Et Al PTR Cardiovascular Consultants of So CaGroup PAC ID 3072701507, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
• Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score

14.02 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

46.73

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Manuel E Sipowicz MD Inc Et Al PTR Cardiovascular Consultants of So Ca

  dba Cardiovascular Consultants of Southern California Medical Group

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1669463998
  Medicare reassignment Care Compare group
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Anaheim Regional Medical

  dba AHMC Anaheim Regional Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1891938122
  Care Compare affiliation
• Prime Healthcare Anaheim, LLC

  dba West Anaheim Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1871501916
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1215927439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "SUITE 506",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-220-0263",
            "fax_number": "714-952-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "SUITE 506",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-220-0263",
            "fax_number": "714-952-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALOM",
        "first_name": "FRED",
        "middle_name": "MELEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A33545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A335450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEREYDOON",
            "last_name": "SHALOM",
            "middle_name": "MELEK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rubina Shaheen, MD
• Ahmad Shahrokh
• Tushar Shailat, M.D.
• Zohreh Shakeri, PA-C
• Shalom Medical Group, Inc.
• Padmini Shamasundara, M.D.
• Fariborz Shams, D.O.
• Christopher Shane
• Sherry Xuanming Shang, OD
• Shankar Sundaram M.D., Inc.

• Cardiovascular Disease Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.