Active NPI
Mariam Shetab, MD
- Family Medicine Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A173992
- Practice address
- 2175 Rosaline Ave
Redding, CA 96001-2549 - Phone
- (530) 225-6000
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A173992 | CA | |
| Hospitalist Physician | 208M00000X | 036176497 | IL | |
| Family Medicine Physician | 207Q00000X | A173992 | CA | Primary |
Addresses
Primary practice location
2175 Rosaline Ave
Redding, CA 96001-2549
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other practice location 1
425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.8 of 100
- Quality
- 80.29
- Improvement activities
- 0
- Cost
- 75.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A173992 | CA | MD | Hospitalist Physician |
| 036176497 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians Inc | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Vituity Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Vituity Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Cep America - Illinois Hospitalists, LLP | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Hospitalist Physician
- Redding, CA
- NPI 1730666108
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Internal Medicine Physician
- Hanford, CA
- NPI 1114285657
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- San Luis Obispo, CA
- NPI 1104551639
-
- Internal Medicine Physician
- Alton, IL
- NPI 1164973947
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1346731650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 ROSALINE AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960012549",
"telephone_number": "530-225-6000"
}
],
"practiceLocations": [
{
"address_1": "425 Wind Ridge Dr",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544014149",
"country_code": "US",
"telephone_number": "715-675-3391",
"fax_number": "715-675-5262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHETAB",
"first_name": "MARIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A173992",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036176497",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A173992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.