Organization Active NPI

Rami Moustafa Shaarawy M.D. Medical

  • Internal Medicine Physician
  • Canoga Park, CA
National Provider Identifier
1336292192
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAMI MOUSTAFA SHAARAWY M.D. MEDICAL
Practice address
21822 Sherman Way Ste 100
Canoga Park, CA 91303-1928
Phone
(818) 716-0557
Fax
(818) 717-0390
NPI assigned
Jan 18, 2007
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Rami Moustafa Shaarawy, M.D.NPI 1154494755
Title
Medical Doctor
Phone
(818) 716-0557

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

21822 Sherman Way Ste 100
Canoga Park, CA 91303-1928

Mailing address

21822 Sherman Way Ste 100
Canoga Park, CA 91303-1928
Phone (818) 716-0557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070324000166 CA Part B Supplier - Clinic/Group Practice 3476657818 Receives reassigned benefits from 1 practitioner
Practice locations: Canoga Park, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1336292192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21822 SHERMAN WAY STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031928",
            "telephone_number": "818-716-0557",
            "fax_number": "818-717-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21822 SHERMAN WAY STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031928",
            "telephone_number": "818-716-0557",
            "fax_number": "818-717-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMI MOUSTAFA SHAARAWY M.D. MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SHAARAWY",
        "authorized_official_first_name": "RAMI",
        "authorized_official_middle_name": "MOUSTAFA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "818-716-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.