NPIMap

Individual provider Active NPI

Jack A Shohet, M.D.

  • Otology & Neurotology Physician
  • Newport Beach, CA
National Provider Identifier
1346325180
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
G54420 Issued in CA
Practice address
446 Old Newport Blvd
Newport Beach, CA 92663-4246
Phone
(949) 631-0409
Fax
(949) 631-2030
NPI assigned
Oct 26, 2006
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G83612 CA
Otology & Neurotology Physician 207YX0901X G54420 CA Primary

Addresses

Primary practice location

446 Old Newport Blvd
Newport Beach, CA 92663-4246

Mailing address

446 Old Newport Blvd
Newport Beach, CA 92663-4246
Phone (949) 631-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000421 CA Practitioner - Otolaryngology 1759383573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

446 Old Newport Blvd
Newport Beach, CA 92663-4246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.19 of 100Reported as individual
Quality
58.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83612CAMDSpecialist
G54420CAMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Specialists of Orange County, Inc. Single Specialty Current Accepting new patients
Sea Surgery Center, LLC CurrentSince Jan 15, 2014 Accepting new patients
Hoag Memorial Hospital Presbyterian Single Specialty Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

770 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 270-4327

770 Pacific Coast Hwy
Ste 101
Seal Beach, CA 90740
Phone (562) 270-4327

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: test.provider.p1@direct.eardoctor.nextgenshare.com

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1346325180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634246",
            "telephone_number": "949-631-4327",
            "fax_number": "949-631-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634246",
            "telephone_number": "949-631-0409",
            "fax_number": "949-631-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOHET",
        "first_name": "JACK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83612",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G54420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.