Active NPI
Chetan Shawn Irwin, M.D.
- Plastic Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A114949
- Practice address
- Shriners Hospital of Children - Northern California
2425 Stockton Blvd., Suite 517
Sacramento, CA 95817-2215 - Phone
- (916) 453-2191
- NPI assigned
- Oct 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A114949 | CA | Primary |
Addresses
Primary practice location
Shriners Hospital of Children - Northern California
2425 Stockton Blvd., Suite 517
Sacramento, CA 95817-2215
Mailing address
2315 Stockton Blvd. - Department of Surgery
Naob Suite 6002
Sacramento, CA 95817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Pittsburgh School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5848 S Fashion Blvd
Murray, UT 84107-6157
Phone (801) 314-4100
5848 S Fashion Blvd
The Orthopedic Specialty Hosp Physicans Gro
Murray, UT 84107-6121
Phone (801) 314-4100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 89 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114949 | CA | MD | Clinical Social Worker |
| A114949 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
900 Round Valley Dr
Ste 200
Park City, UT 84060
Phone (435) 658-7246
5169 S Cottonwood St
Ste 430
Salt Lake City, UT 84107
Phone (801) 507-3475
5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100
5848 S Fashion Blvd
Salt Lake Cty, UT 84107
Phone (801) 314-4040
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Multi-Specialty Clinic/Center
- Park City, UT
- NPI 1245464197
-
- Allergy & Immunology Physician
- Park City, UT
- NPI 1881953537
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1629303177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY",
"address_2": "NAOB SUITE 6002",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SHRINERS HOSPITAL OF CHILDREN - NORTHERN CALIFORNIA",
"address_2": "2425 STOCKTON BLVD., SUITE 517",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172215",
"telephone_number": "916-453-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "CHETAN",
"middle_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A114949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.