Active NPI
Adel Shawky Metry, M.D.
- Cardiovascular Disease Physician
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A44695
- Practice address
- 1141 W Redondo Beach Blvd Suite#406
Gardena, CA 90247 - Phone
- (310) 719-1653
- Fax
- (310) 719-1321
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A44695 | CA | Primary |
Addresses
Primary practice location
1141 W Redondo Beach Blvd Suite#406
Gardena, CA 90247
Mailing address
1141 W Redondo Beach Blvd Suite#406
Gardena, CA 90247
Phone (310) 719-1653
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1141 W Redondo Beach Blvd
Suite 406
Gardena, CA 90247-3582
Phone (310) 719-1653
625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330
Hospital & facility affiliations
- Torrance Memorial Medical Center
- Providence Little Company of Mary Med Ctr Torrance
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44695 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adel S. Metry,M.D. Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Southern California Hospitalist Network Medical Group Inc | Current | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients | |
| Gardena Hospital LP | Past | Accepting new patients |
Locations
1141 W Redondo Beach Blvd
Ste 406
Gardena, CA 90247
Phone (310) 515-1055
625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Gardena, CA
- NPI 1932308194
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
-
- Institutional Pharmacy
- Gardena, CA
- NPI 1669491700
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376638809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 W REDONDO BEACH BLVD SUITE#406",
"city": "GARDENA",
"state": "CA",
"postal_code": "90247",
"telephone_number": "310-719-1653",
"fax_number": "310-719-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 W REDONDO BEACH BLVD SUITE#406",
"city": "GARDENA",
"state": "CA",
"postal_code": "90247",
"telephone_number": "310-719-1653",
"fax_number": "310-719-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METRY",
"first_name": "ADEL",
"middle_name": "SHAWKY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A44695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.