NPIMap

Individual provider Active NPI

Shawn Clark Emery, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Merced, CA
National Provider Identifier
1821090150
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A77415 Issued in CA
Practice address
3172 Collins Dr Ste B
Merced, CA 95348-3131
Phone
(209) 723-4551
Fax
(209) 723-0141
NPI assigned
May 31, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 11379 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A77415 CA Primary

Addresses

Primary practice location

3172 Collins Dr Ste B
Merced, CA 95348-3131

Mailing address

PO Box 576768
Modesto, CA 95357-6768
Phone (209) 723-4551

Other identifiers 3

IdentifierTypeStateIssuer
201672000MedicaidNV
XPY068120OtherNVMEDICAL
00A774150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000338 CA Practitioner - Pathology 6608817747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, San Diego School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yosemite Pathology Medical Group IncGroup PAC ID 3072415751, 45 clinicians
Madhu K. Kris, M.D., Inc.Group PAC ID 5294779005, 3 clinicians

Practice addresses (Care Compare)

4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200

750 W Olive Ave
Suite 106
Merced, CA 95348-2436
Phone (209) 384-3115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.37 of 100Reported as group
Quality
41.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97 of 100Reported as group
Quality
95.21
Improvement activities
40
Cost
84.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77415CAMDPharmacist
11379NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yosemite Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2014 Accepting new patients
Madhu K. Kris, M.D., Inc. CurrentSince Jul 1, 2014 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Nevada Histology, Inc. Past Accepting new patients
Yosemite Pathology Medical Group, in Past Accepting new patients
Yosemite Pathology Medical Group Past Accepting new patients

Locations

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

750 W Olive Ave
Ste 106
Merced, CA 95348
Phone (209) 384-3115

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

3172 Collins Dr
Ste B
Merced, CA 95348
Phone 2095771200220

2625 Coffee Rd
Ste S
Modesto, CA 95355
Phone (208) 577-1200

4301 N Star Way
Modesto, CA 95356
Phone 2095771200 ext. 212

4301 N Star Way
Ste A
Modesto, CA 95356

Organizations & group practices 8

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821090150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576768",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576768",
            "telephone_number": "209-723-4551",
            "fax_number": "209-723-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483131",
            "telephone_number": "209-723-4551",
            "fax_number": "209-723-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "SHAWN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "11379",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A77415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201672000",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "XPY068120",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A774150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.