Individual provider Active NPI

Kutaiba Taha Hamid Alshebeeb

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1437539129
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A17617 Issued in CA
Practice address
601 N Caroline St FL 2
Baltimore, MD 21287-0006
Phone
(410) 955-5000
NPI assigned
Jun 8, 2015
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X A17617 CA Primary
Diagnostic Radiology Physician 2085R0202X D91291 MD

Addresses

Primary practice location

601 N Caroline St FL 2
Baltimore, MD 21287-0006

Mailing address

644 Ovington Ave
Floor 2
Brooklyn, NY 11209-1658
Phone (504) 222-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220923002530 CA Practitioner - Diagnostic Radiology 6507266715 Reassigns benefits to 15 organizations
I20260507004458 TX Practitioner - Diagnostic Radiology 6507266715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92808
Phone (844) 866-2718

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 835-6055

11525 Brookshire Ave
Suite 111
Downey, CA 90241-4982
Phone (562) 904-1111

11570 Indian Hills Rd
Mission Hills, CA 91345-1238
Phone (800) 378-5597

12276 Hesperia Rd
Victorville, CA 92395-5838

14860 Roscoe Blvd
Suite 101
Panorama City, CA 91402-4681
Phone (818) 616-6538

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 790-8950

1821 W Olive Ave
Burbank, CA 91506-2435
Phone (818) 841-8880

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

19950 Rinaldi St
Suite 101B C
Porter Ranch, CA 91326-4141
Phone (800) 378-5597

211 N Prairie Ave
Suite E
Inglewood, CA 90301-1412
Phone (310) 672-9729

222 W Eulalia St
Glendale, CA 91204-2849
Phone (818) 502-2323

230 S Main St
Orange, CA 92868-3851

231 W Fir Ave
Clovis, CA 93611-0220
Phone (559) 233-4272

2336 Santa Monica Blvd
Suite 206
Santa Monica, CA 90404-2938
Phone (310) 315-1000

23961 Calle de la Magdalena
Suite 243
Laguna Hills, CA 92653-3600
Phone (949) 272-2202

248 Landis Ave
Chula Vista, CA 91910-2609
Phone (619) 790-8950

25150 Hancock Ave
Suite 105
Murrieta, CA 92562-5988
Phone (951) 412-0228

25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230

25775 McBean Pkwy
Suite 100
Valencia, CA 91355-3702
Phone (661) 255-7627

2601 W Alameda Ave
Bubank, CA 91505-4810
Phone (818) 843-7462

2679 Zoe Ave
Huntington Park, CA 90255-4144
Phone (323) 584-3333

2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A17617CAMDDiagnostic Radiology Physician
D91291MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 1, 2025 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 15, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 1, 2025 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Apr 5, 2026 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 15, 2025 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients

Locations (25 of 39)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1437539129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 OVINGTON AVE",
            "address_2": "FLOOR 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091658",
            "telephone_number": "504-222-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHEBEEB",
        "first_name": "KUTAIBA",
        "middle_name": "TAHA HAMID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A17617",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D91291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.