Ehsan Shahmir, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A50331 Issued in CA

Practice address

1360 Burton Dr
Suite 160
Vacaville, CA 95687-3557

Phone

(707) 446-4379

Fax

(707) 446-4417

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

NephrologyAlso: Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ong Rubin Shahmir a Medical CorporationGroup PAC ID 7315123007, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Joy of Dixon Dialysis Center Dialysis facility, Dixon, CA, CCN 552603
• DaVita Vaca Valley Home Training Dialysis facility, Vacaville, CA, CCN 752531
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ong Rubin Shahmir a Medical Corporation

  • Nephrology Physician
  • Fairfield, CA
  • NPI 1992000152
  Medicare reassignment Care Compare group NPD Authorized official
• Nightingale Clinical Care, PC

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1972159069
  NPD

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dixon, CA
  • NPI 1720269996

  Dialysis facility

  Care Compare affiliation Name & address match
• Ubonsie Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vacaville, CA
  • NPI 1740886274

  Dialysis facility

  Care Compare affiliation Name & address match
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1700855210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BURTON DR",
            "address_2": "SUITE 160",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873557",
            "telephone_number": "707-446-4379",
            "fax_number": "707-446-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BURTON DR",
            "address_2": "SUITE 160",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873557",
            "telephone_number": "707-446-4379",
            "fax_number": "707-446-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHMIR",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50331",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A50331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macdana Selecon
• Faith Ann Seleska
• Cherilynne Rose Selmos
• Sofia Sepulveda, RD
• Nehal Mahendra Shah
• Asma Siddique Shaikh, PHARMD
• Luna Sharma, M.D.
• Jenna Shaw, M.S., BCBA
• Mark M. Shaw, PH.D.
• Kevin She, RPH

• Nephrology Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.