NPIMap

Individual provider Active NPI

Michael Shye, M.D.

  • Nephrology Physician
  • Burbank, CA
National Provider Identifier
1639469588
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A116464 Issued in CA
Practice address
2625 W Alameda Ave Ste 322
Burbank, CA 91505-4822
Phone
(818) 843-9020
Fax
(818) 843-9021
NPI assigned
Apr 12, 2011
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A116464 CA
Nephrology Physician 207RN0300X A116464 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave Ste 322
Burbank, CA 91505-4822

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000581 CA Practitioner - Internal Medicine 8628247657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A116464CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 1, 2014 Accepting new patients
The Regents of the University of California Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2014 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

2625 W Alameda Ave
Ste 322
Burbank, CA 91505
Phone (818) 843-9015

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

File 59755
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

25775 McBean Pkwy
Ste 215
Valencia, CA 91355
Phone (661) 255-2420

Interoperability endpoints

  • Direct secure messaging: mshye48377@direct.uclahealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1639469588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 322",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054822",
            "telephone_number": "818-843-9020",
            "fax_number": "818-843-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116464",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A116464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.