Sameh Shenouda, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A123234 Issued in CA

Practice address

7963 Van Nuys Blvd Ste 101
Panorama City, CA 91402-6071

Phone

(818) 988-9818

Fax

(818) 988-9828

NPI assigned

Sep 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

General PracticeAlso: Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Home Health & Palliative Care Inc Home health agency, Burbank, CA, CCN 053157
• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
• Panorama Gardens Nursing and Rehabilitation Center Nursing home, Panorama City, CA, CCN 056337
• Grand Valley Health Care Center Nursing home, Van Nuys, CA, CCN 056363

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (6 of 7)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Sameh Shenouda MD Inc.

  • Adult Medicine Physician
  • Panorama City, CA
  • NPI 1598270191
  Medicare reassignment NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment Care Compare group NPD
• Beaver Medical Group P C

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1649503319
  Medicare reassignment NPD
• Beaver Medical Group P C

  • Physical Therapist
  • Redlands, CA
  • NPI 1427090281
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Fontana, CA
  • NPI 1316463763
  NPD

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

• Deanco Healthcare LLC

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375
  Care Compare affiliation
• Ensign Panorama LLC

  • Skilled Nursing Facility
  • Panorama City, CA
  • NPI 1467447037

  Nursing home

  Care Compare affiliation
• Grand Valley Health Care Center LLC

  • Skilled Nursing Facility
  • Van Nuys, CA
  • NPI 1073950614

  Nursing home

  Care Compare affiliation
• Lakewood Home Health & Palliative Care Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1255779187
  Care Compare affiliation

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1487936902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 VAN NUYS BLVD STE 101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026071",
            "telephone_number": "818-988-9818",
            "fax_number": "818-988-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 VAN NUYS BLVD STE 101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026071",
            "telephone_number": "818-988-9818",
            "fax_number": "818-988-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "SAMEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-10",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A123234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shehnaz N. Habib, M.D. a Professional Corporation
• Eric Sheidenberger
• Mark William Sheidenberger
• Patrick Joseph Sheldon, MD
• Peter Shelly, CRNA
• Carolin Sherf, PHYSICIAN ASSISTANT
• Abdi T. Sherif, MD
• Thomas J. Sherry, MD
• Satish B. Sheth, MD
• Shimon Rabbani DMD Inc

• General Practice Physician in Panorama City, CA
• Providers in Panorama City, 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 Nov 29, 2021; 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.

Verify at the official NPI Registry.