Steven E Shield, M.D.
Individual provider Active NPI Family Medicine Physician · Groveland, CA
NPI 1619954237 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1619954237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CAG66861 (CA)
- Practice address
- 18661 State Highway 120
Groveland, CA 95321-9701 - Phone
- (209) 962-7121
- Fax
- (209) 962-0665
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mathiesen Memorial Health Clinic
Practice addresses (Care Compare)
18144 Seco St
Jamestown, CA 95327-9498
Phone (209) 984-4820
Hospital & facility affiliations
- Careone Home Health and Hospice, Inc
- Atta Home Healthcare
- Adventist Health Home Care Services
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090106000675 | CA | Practitioner - Family Practice | 1153484837 | Reassigns benefits to 2 organizations |
| I20250401000080 | TX | Practitioner - General Practice |
1153484837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAG66861 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Family Medicine | Current |
Accepting new patients |
| Sonora Community Hospital | Current |
Accepting new patients | |
| Mathiesen Memorial Health Clinic | Current |
Accepting new patients | |
| Sonora Community Hospital | Current |
Accepting new patients | |
| Sonora Community Hospital | Family Medicine | Past | Accepting new patients |
| Mathiesen Memorial Health Center | Past |
Accepting new patients |
Locations
18661 Highway 120
Groveland, CA 95321
Phone (209) 962-7121
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785
19747 Greenley Rd
Ste S2
Sonora, CA 95370
Phone (209) 536-2665
680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- steven.shield.p1@direct.mathiesenmemorialhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CAG66861 | CA | Yes |
Addresses
Primary practice location
18661 State Highway 120
Groveland, CA 95321-9701
Mailing address
14400 Jacksonville Rd
Jamestown, CA 95327-9567
Phone (209) 962-7121
Other providers in Groveland, CA
- Kerrie L. Robison
- John Romano
- Ronald E Oler
- David Alberto Ruiz Sanchez
- Brittney Marie Serrano
- Sonora Community Hospital
- Andrew Stempel
- Kimberly Velazco
- Amanda Theresa Watson
- Ania-Symone Williams
All providers in Groveland, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.