Individual provider Active NPI

Samir Sheth, MD

  • Pain Medicine (Anesthesiology) Physician
  • Roseville, CA
National Provider Identifier
1720245830
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A107891 Issued in CA
Practice address
2 Medical Plaza Dr Ste 205
Roseville, CA 95661
Phone
(916) 773-8711
Fax
(916) 773-8712
NPI assigned
May 18, 2008
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 244103 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X A107891 CA Primary

Addresses

Primary practice location

2 Medical Plaza Dr Ste 205
Roseville, CA 95661

Mailing address

10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Other practice location 1

4150 V St
PSSB Suite 1200
Sacramento, CA 95817-1460
Phone (916) 734-5042

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101118000354 CA Practitioner - AnesthesiologyPractitioner - Pain Management 3678769528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

151 N Sunrise Ave
Suite 611
Roseville, CA 95661-2926
Phone (916) 773-8711

2 Medical Plaza Dr
Roseville, CA 95661-3042

2800 L St
Sacramento, CA 95816-5616

8 Medical Plaza Dr
Roseville, CA 95661-3106
Phone (916) 782-5106

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244103NYMDAnesthesiology Physician
A107891CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Nov 6, 2012 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 19, 2018 Accepting new patients
Regents of the Univ of Ca Pain Medicine CurrentSince Aug 5, 2010 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 5, 2010 Accepting new patients
Sutter Valley Medical Foundation Anesthesiology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 19, 2018 Accepting new patients
Regents of the University of California CurrentSince Nov 6, 2012 Accepting new patients
Essent PRMC LP Anesthesiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

271 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9200

2 Medical Plaza Dr
Ste 205
Roseville, CA 95661
Phone (916) 773-8711

7 Medical Plaza Dr
Ste 250
Roseville, CA 95661
Phone (916) 773-8711

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 2700
Sacramento, CA 95817
Phone (916) 734-6688

Interoperability endpoints

  • Direct secure messaging: ssheth236580@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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 5

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": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1720245830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-773-8711",
            "fax_number": "916-773-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 V St",
            "address_2": "PSSB Suite 1200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171460",
            "country_code": "US",
            "telephone_number": "916-734-5042",
            "fax_number": "916-734-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SAMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-18",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "244103",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A107891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.