Individual provider Active NPI

Michael M Shenoda, MD

  • Interventional Cardiology Physician
  • Santa Barbara, CA
National Provider Identifier
1801096482
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A93813 Issued in CA
Practice address
317 W Pueblo St
Santa Barbara, CA 93105-4310
Phone
(805) 681-1761
Fax
(805) 681-1768
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A93813 CA Primary

Addresses

Primary practice location

317 W Pueblo St
Santa Barbara, CA 93105-4310

Mailing address

PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 681-1761

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000845 CA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 1355409772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Michigan State University College of Human Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians
Cottage Medical FoundationGroup PAC ID 0547600512, 83 clinicians

Practice addresses (Care Compare)

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

5333 Hollister Ave
Suite 250
Goleta, CA 93111-2466
Phone (805) 879-4240

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93813CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Clinical Associates Interventional Cardiology CurrentSince Jan 1, 2023 Accepting new patients
Sansum Clinic CurrentSince Jul 25, 2011 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Jul 25, 2011 Accepting new patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients

Locations

2400 Bath St
Ste 102
Santa Barbara, CA 93105
Phone (805) 259-5618

400 W Pueblo St
Fl 4
Santa Barbara, CA 93105

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

Interoperability endpoints

  • Direct secure messaging: mshenoda359367@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1801096482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931602106",
            "telephone_number": "805-681-1761",
            "fax_number": "805-681-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054310",
            "telephone_number": "805-681-1761",
            "fax_number": "805-681-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENODA",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A93813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.