Active NPI
Marshall Shieh, DPM
- Sports Medicine Podiatrist
- Bakersfield, CA
National Provider Identifier
1407097272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- E4846
- Practice address
- 3545 San Dimas St
Bakersfield, CA 93301-1605 - Phone
- (661) 327-2101
- NPI assigned
- Mar 9, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | E4846 | CA | Primary |
Addresses
Primary practice location
3545 San Dimas St
Bakersfield, CA 93301-1605
Mailing address
2901 Sillect Ave
Ste 201
Bakersfield, CA 93308-6373
Phone (661) 327-2101
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091015000330 | CA | Practitioner - Podiatry | 7113063579 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bakersfield Family Medical Group Inc
Practice addresses (Care Compare)
4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4846 | CA | MD | Sports Medicine Podiatrist |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Family Medical Group Inc | Current | Accepting new patients | |
| Coastal Communities Physician Network, Inc. | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| San Joaquin Community Hospital | Past | Accepting new patients |
Locations
4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- marshall.shieh.p1@direct.bfmc.nextgenshare.com
- mjs105pcs@m1595.primeclinicalsystems.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- marshall.shieh.p8@direct.bfmc.nextgenshare.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1013912641
CA
-
- Plastic and Reconstructive Surgery Physician
- Bakersfield, CA
- NPI 1396921797
CA
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1407097272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 SILLECT AVE",
"address_2": "STE 201",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933086373",
"telephone_number": "661-327-2101",
"fax_number": "661-327-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 SAN DIMAS ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011605",
"telephone_number": "661-327-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIEH",
"first_name": "MARSHALL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-09",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CA",
"license": "E4846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.