Organization Active NPI

Cedar Internal Medicine PA

  • General Acute Care Hospital
  • Midland, TX
National Provider Identifier
1235976036
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CEDAR INTERNAL MEDICINE PA
Practice address
1800 Heritage Blvd
Midland, TX 79707-9750
Phone
(432) 520-1600
NPI assigned
Jul 10, 2024
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Joseph Shayeb, MDNPI 1528049590
Title
President
Phone
(432) 352-2738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1800 Heritage Blvd
Midland, TX 79707-9750

Mailing address

PO Box 50850
Midland, TX 79710-0850
Phone (432) 978-5271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123000372 TX Part B Supplier - Clinic/Group Practice 8224567086 Receives reassigned benefits from 2 practitioners
Practice locations: Midland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1235976036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50850",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797100850",
            "telephone_number": "432-978-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HERITAGE BLVD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797079750",
            "telephone_number": "432-520-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SHAYEB",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-352-2738",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.