NPIMap

Individual provider Active NPI

Homayoon Shahidi, MD

  • Hematology & Oncology Physician
  • Reno, NV
National Provider Identifier
1295756419
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C53428 Issued in CA
Practice address
75 Pringle Way Ste 801
Reno, NV 89502-8400
Phone
(775) 982-2820
Fax
(775) 982-2821
NPI assigned
Jul 22, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C53428 CA Primary
Medical Oncology Physician 207RX0202X 8967 ND

Addresses

Primary practice location

75 Pringle Way Ste 801
Reno, NV 89502-8400

Mailing address

6555 Coyle Ave Ste 301
Carmichael, CA 95608-0303
Phone (916) 962-1544

Other practice location 1

6555 Coyle Ave Ste 301
Carmichael, CA 95608-0303
Phone (916) 962-1544

Other identifiers 3

IdentifierTypeStateIssuer
13897788OtherNVCAQH ID
C53428OtherCAMEDICAL LICENSE
20119OtherNVMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110105000966 MN Practitioner - Hematology/Oncology 1658434873 Reassigns benefits to 1 organization
I20161018001835 CA Practitioner - Hematology/Oncology 1658434873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

900 Mono Way
Sonora, CA 95370-5229
Phone (209) 536-6940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53428CAMDHematology & Oncology Physician
8967NDMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Apr 29, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Dec 9, 2024 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sonora Community Hospital Hematology & Oncology CurrentSince Dec 9, 2024 Accepting new patients
El Portal Radiation Oncology Center CurrentSince Dec 6, 2023 Accepting new patients

Locations

360 E Almond Ave
Ste 103
Madera, CA 93637
Phone (559) 661-1965

3303 M St
Merced, CA 95348
Phone (209) 384-3533

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6920

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

Interoperability endpoints

  • Direct secure messaging: homayoon.shahidi@sierrahemonc.ikm.direct-ci.com
  • Direct secure messaging: hshahidi159166@direct.renown.org

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1295756419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE STE 301",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080303",
            "telephone_number": "916-962-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 801",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028400",
            "telephone_number": "775-982-2820",
            "fax_number": "775-982-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Coyle Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080303",
            "country_code": "US",
            "telephone_number": "916-962-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHIDI",
        "first_name": "HOMAYOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C53428",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ND",
            "license": "8967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "13897788",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C53428",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20119",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.