Michelle Shute, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G79558 Issued in CA

Practice address

2850 Telegraph Ave
Suite #130
Berkeley, CA 94705-1159

Phone

(510) 204-8110

Fax

(510) 843-0804

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Laguna Honda Hospital & Rehabilitation Center Hospital, San Francisco, CA, CCN 050668
• Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  Medicare reassignment Care Compare group NPD
• The West Oakland Health Council

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1285754234
  Medicare reassignment NPD
• City & County of San Francisco

  • Geriatric Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1265460190
  NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD
• The West Oakland Health Council

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, CA
  • NPI 1043331630
  NPD
• The West Oakland Health Council

  • Adult Mental Health Clinic/Center
  • Oakland, CA
  • NPI 1568583789
  NPD
• Family Practice Medical Group of Oakland

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1649234865
  NPD (past)
• Hill Health Inc a Medical Corporation

  • General Practice Physician
  • Oakland, CA
  • NPI 1245607456

  Internal Medicine

  NPD (past)

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

• City & County of San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1083648810
  Care Compare affiliation
• City & County of San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1164609962
  Care Compare affiliation
• City & County of San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1235172560
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1801974696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE",
            "address_2": "SUITE #130",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051159",
            "telephone_number": "510-204-8110",
            "fax_number": "510-843-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TELEGRAPH AVE",
            "address_2": "SUITE #130",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051159",
            "telephone_number": "510-204-8110",
            "fax_number": "510-843-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTE",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G795580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Terrell Shropshire
• Paula Shryne
• Eva Shu, DACM, LAC
• Shuni Inc
• Erin Shuster, PNP
• Jane Altavas Sia-Flaherty, LCSW
• Brad Sickenius, PH.D.
• Alexandra Joy Sideroff, LMFT, LMHC
• Alan B Siegel, PH.D.
• Leni H. Siegel, LICENSED MARRIAGE

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.