Maina Ravi Shetty, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51689 Issued in CA

Practice address

27206 Calaroga Ave
#203
Hayward, CA 94545

Phone

(510) 782-7111

Fax

(510) 782-7649

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maina Hedge Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639183361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "#203",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-782-7111",
            "fax_number": "510-782-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "#203",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-782-7111",
            "fax_number": "510-782-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "MAINA",
        "middle_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A516890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAINA",
            "last_name": "HEDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Shein
• Kelly Shelby
• Shariye Shelton
• Jason Michael Shepherd
• Josefina Camacho Shepherd
• Mary M Shields, NP
• Dipti Ramling Shinde, D.D.S., B.D.S.
• Rashmi Shingari, RPH
• Jasmine Shinwary
• Alice Shiu

• Internal Medicine Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.