Individual provider Active NPI

Robert Michael Shorr, M.D.

  • Surgery Physician
  • Inglewood, CA
National Provider Identifier
1447202775
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G51603 Issued in CA
Practice address
501 East Hardy Street
Suite 210
Inglewood, CA 90301-4504
Phone
(310) 673-4900
Fax
(310) 673-1319
NPI assigned
May 16, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G51603 CA Primary

Addresses

Primary practice location

501 East Hardy Street
Suite 210
Inglewood, CA 90301-4504

Mailing address

501 East Hardy Street
Suite 210
Inglewood, CA 90301-4504
Phone (310) 673-4900

Other identifiers 1

IdentifierTypeStateIssuer
GR0078930MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000688 CA Practitioner - General Surgery 8729987649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shorr and Smith MDSGroup PAC ID 7911806823, 2 clinicians

Practice addresses (Care Compare)

501 E Hardy St
210 Shorr and Smith MD
Inglewood, CA 90301-4093
Phone (310) 673-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51603CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Shorr & Smith MDS Surgery CurrentSince Jul 1, 1994 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

501 E Hardy St
Ste 210
Inglewood, CA 90301
Phone (310) 673-4900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1447202775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EAST HARDY STREET",
            "address_2": "SUITE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014504",
            "telephone_number": "310-673-4900",
            "fax_number": "310-673-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EAST HARDY STREET",
            "address_2": "SUITE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014504",
            "telephone_number": "310-673-4900",
            "fax_number": "310-673-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORR",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G51603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.