Active NPI
Richard Conrad Shebelut, MD
- Obstetrics & Gynecology Physician
- Fresno, CA
National Provider Identifier
1285736058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G471640
- Practice address
- 6327 N Fresno St Ste 101
Fresno, CA 93710-5236 - Phone
- (559) 439-2229
- Fax
- (559) 435-7195
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G471640 | CA | Primary |
Addresses
Primary practice location
6327 N Fresno St Ste 101
Fresno, CA 93710-5236
Mailing address
6327 N Fresno St Ste 101
Fresno, CA 93710-5236
Phone (559) 439-2229
Other practice location 1
6215 N Fresno Street St 108
Fresno, CA 93710
Phone (559) 439-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA238536 | Other | CA | MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G471640 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard C Shebelut MD Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Richard C Shebelut MD | Obstetrics & Gynecology | Current | Accepting new patients |
| American Arthritis & Rheumatology Associates-Ca PC | Past | Accepting new patients | |
| Omni Women'S Health Medical Group, Inc | Past | Accepting new patients | |
| Omni Womens Health Medical Group Inc | Past | Accepting new patients |
Locations
6215 N Fresno St
Ste 108
Fresno, CA 93710
Phone (559) 256-9600
6327 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-5265
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1255912960
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1902066590
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1154873230
-
- Non-Pharmacy Dispensing Site
- Visalia, CA
- NPI 1740977404
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1891997813
-
- Gynecology Physician
- Fresno, CA
- NPI 1396721197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1285736058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6327 N FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105236",
"telephone_number": "559-439-2229",
"fax_number": "559-439-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6327 N FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105236",
"telephone_number": "559-439-2229",
"fax_number": "559-435-7195"
}
],
"practiceLocations": [
{
"address_1": "6215 N Fresno Street St 108",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93710",
"country_code": "US",
"telephone_number": "559-439-2229",
"fax_number": "559-439-3936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEBELUT",
"first_name": "RICHARD",
"middle_name": "CONRAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2021-03-03",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G471640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CA238536",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.