Allen B Shoham, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD60150901 Issued in WA

Practice address

821 Swift Blvd
Richland, WA 99352-3513

Phone

(509) 606-5040

Fax

(509) 946-7253

NPI assigned

Mar 22, 2007

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Oregon Health Sciences University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Spine InstituteGroup PAC ID 3779979125, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apex Spine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Richland, WA
  • NPI 1154081446

  Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Apex Spine Institute

  • Ambulatory Surgical Clinic/Center
  • Richland, WA
  • NPI 1245987965
  NPD (past)
• Kennewick Public Hospital District

  dba Kennewick General Hospital Home Health Care

  • Home Health Agency
  • Kennewick, WA
  • NPI 1184797433
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1396862868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523513",
            "telephone_number": "509-606-5040",
            "fax_number": "509-946-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523513",
            "telephone_number": "509-606-5040",
            "fax_number": "509-946-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6703 W Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362623",
            "country_code": "US",
            "telephone_number": "509-460-5588",
            "fax_number": "509-783-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOHAM",
        "first_name": "ALLEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60150901",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD60150901",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WA",
            "license": "MD60150901",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD60150901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0448271",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01143104",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396862868",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Amelia Shelton, MN ARNP FNP-C
• Michael Tyshune Shelton, RN, MSN
• Nataliya S Sherepitka, INTERPRETER
• Kelly Sherman, NC
• Kirsten Shockman, PTA
• Anna K Shoolroy, PA-C
• Shriners Hospitals for Children
• Wendy Shulins-Briggs, LMP
• Jana R Shumate, BA CASE MANAGER
• Erik W Shupe, D.O.

• Interventional Pain Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Interventional Pain Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.

Verify at the official NPI Registry.