Leo Meng-Tah Shum, M.D

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

A121518 Issued in CA

Practice address

959 E Walnut St
Suite 120
Pasadena, CA 91106-1451

Phone

(626) 795-1831

Fax

(626) 795-2716

NPI assigned

Sep 8, 2007

Last updated

Sep 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 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

Emergency MedicineAlso: Critical Care (Intensivists)

Education

University of Pittsburgh School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Critical Care Associates IncGroup PAC ID 8729479225, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Vista Critical Care Associates Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Glendale, CA
  • NPI 1942971189
  Medicare reassignment Care Compare group NPD
• Bel Air Critical Care Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1396268041
  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Foothill Pulmonary & Critical Care Consultants Medical Group Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1205862489
  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Internal Medicine Physician
  • Loma Linda, CA
  • NPI 1366492399
  NPD

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

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1609061191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-795-1831",
            "fax_number": "626-795-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-795-1831",
            "fax_number": "626-795-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUM",
        "first_name": "LEO",
        "middle_name": "MENG-TAH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-08",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT188668",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A121518",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A121518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shu, MD
• Warren Shu, M.D.
• Daniel Thomas Shultis
• Robyn Joy Shultz
• Carla Lisset Shum, MSW
• Angela O'Kelley Shumaker, RDN
• Gia Shurgot, PHD
• Josh Shurtz
• Mario Alexander Sibrian
• Andrea LT. Reina Sica

• Critical Care Medicine (Internal Medicine) Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.