NPIMap

Individual provider Active NPI

Rakesh Shishodia, MD

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1831191287
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75975 Issued in CA
Practice address
25020 Las Brisas Rd
Murrieta, CA 92562-4064
Phone
(951) 200-4601
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A75975 CA Primary

Addresses

Primary practice location

25020 Las Brisas Rd
Murrieta, CA 92562-4064

Mailing address

30806 Bow Bridge Dr
Murrieta, CA 92563-8816
Phone (951) 299-6472

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
I20090924000724 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5496801391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Crossing CorporationGroup PAC ID 5294721197, 16 clinicians

Practice addresses (Care Compare)

39765 Date St
Suite 102
Murrieta, CA 92563-2005
Phone (951) 894-4665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.61 of 100Reported as individual
Quality
55.21
Improvement activities
0
Cost
67.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Feb 1, 2013 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Feb 1, 2013 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Dec 21, 2018 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Bakersfield Family Medical Group Inc Internal Medicine Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

39765 Date St
Ste 102
Murrieta, CA 92563

28078 Baxter Rd
Ste 314
Murrieta, CA 92563
Phone (951) 677-3000

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Interoperability endpoints

  • Direct secure messaging: rshishodia181746@direct.llu.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1831191287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30806 BOW BRIDGE DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925638816",
            "telephone_number": "951-299-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25020 LAS BRISAS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624064",
            "telephone_number": "951-200-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHODIA",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.