Eugene Mark Shusterman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A062178 Issued in CA

Practice address

1048 Serpentine LN
Suite 301
Pleasanton, CA 94566-4734

Phone

(925) 425-7363

Fax

(877) 975-3063

NPI assigned

May 20, 2006

Last updated

Aug 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Seminole Health Center LLC

  dba Seminole Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Seminole, OK
  • NPI 1144278920
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1487608857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 SERPENTINE LN",
            "address_2": "SUITE 301",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664734",
            "telephone_number": "925-425-7363",
            "fax_number": "877-975-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 SERPENTINE LN",
            "address_2": "SUITE 301",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664734",
            "telephone_number": "925-425-7363",
            "fax_number": "877-975-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTERMAN",
        "first_name": "EUGENE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A062178",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "21493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swechha Shrestha
• Shawn Shubert, CMT
• Fung Y. Shuen, D.D.S.
• Chhavi Shukla
• Pratima P. Shukla, MD
• Elizabeth Ann Siamas
• Gurleen Kaur Sidhu
• Namrata Sidhu, MD
• Pramodh S Sidhu, MD
• Sierra Oak Counseling Inc

• General Practice Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.