Individual provider Active NPI

Omid Avraham Shaye, M.D.

  • Gastroenterology Physician
  • Garden Grove, CA
National Provider Identifier
1720267990
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A91773 Issued in CA
Practice address
12556 Valley View St
Garden Grove, CA 92845-2006
Phone
(800) 544-5844
Fax
(714) 784-7671
NPI assigned
Oct 24, 2007
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A91773 CA Primary

Addresses

Primary practice location

12556 Valley View St
Garden Grove, CA 92845-2006

Mailing address

6222 Wilshire Blvd
Suite 303
Los Angeles, CA 90048-5123
Phone (323) 939-2442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abetterbilling@sbcglobal.net

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
I20090724000529 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1153474085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Hospitalist Associates IncGroup PAC ID 0547566150, 2 clinicians
Gastroenterology Associates of Beverly HillsGroup PAC ID 5799979076, 5 clinicians

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 815
Los Angeles, CA 90048-5905
Phone (310) 858-2224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy376
Upper gastrointestinal (GI) endoscopy for acid reflux280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Gastroenterology Associates Gastroenterology Current Accepting new patients
Gastroenterology Associates of Beverly Hills Gastroenterology CurrentSince Aug 4, 2010 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

9033 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 858-1242

12556 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

6222 Wilshire Blvd
Ste 303
Los Angeles, CA 90048
Phone (323) 525-1999

8631 W 3rd St
Ste 815
Los Angeles, CA 90048
Phone (310) 858-2222

8631 W 3rd St
Ste 815E
West Hollywood, CA 90048
Phone (310) 652-3055

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 3

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1720267990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD",
            "address_2": "SUITE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485123",
            "telephone_number": "323-939-2442",
            "fax_number": "323-939-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12556 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "800-544-5844",
            "fax_number": "714-784-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYE",
        "first_name": "OMID",
        "middle_name": "AVRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A91773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abetterbilling@sbcglobal.net",
            "affiliation": "N",
            "address_1": "12556 Valley View St",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928452006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.