NPIMap

Individual provider Active NPI

Shane Paul Dormady, M.D., PHD

  • Medical Oncology Physician
  • Los Gatos, CA
National Provider Identifier
1417024654
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A87232 Issued in CA
Practice address
555 Knowles Dr Ste 200
Los Gatos, CA 95032-1551
Phone
(408) 866-3989
Fax
(650) 962-4592
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A87232 CA Primary

Addresses

Primary practice location

555 Knowles Dr Ste 200
Los Gatos, CA 95032-1551

Mailing address

2505 Hospital Dr
Mountain View, CA 94040-4127
Phone (650) 988-8338

Other practice location 1

2505 Hospital Dr
Mountain View, CA 94040-4127
Phone (650) 988-8338

Other identifiers 2

IdentifierTypeStateIssuer
00A872320MedicaidCA
00A872321OtherCAMEDICARE RAILROAD

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
I20060209000307 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1850306085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87232CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Mar 1, 2020 Accepting new patients
El Camino Health Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Sequoia Health Services Past Accepting new patients
County of Santa Clara Past Accepting new patients
James R. Cohen MD Medical Corporation Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

555 Knowles Dr
Ste 200
Los Gatos, CA 95032
Phone (408) 370-0200

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2505 Hospital Dr
Mountain View, CA 94040
Phone (650) 940-7015

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sdormady6612@icare.elcaminohospital.org

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1417024654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 HOSPITAL DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404127",
            "telephone_number": "650-988-8338",
            "fax_number": "650-962-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321551",
            "telephone_number": "408-866-3989",
            "fax_number": "650-962-4592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404127",
            "country_code": "US",
            "telephone_number": "650-988-8338",
            "fax_number": "650-962-4594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMADY",
        "first_name": "SHANE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A87232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A872320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "00A872321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.