Individual provider Active NPI

Elana Shpall, MD, MS

  • Geriatric Medicine (Internal Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1841636131
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
141597 Issued in CA
Practice address
225 30TH St
San Francisco, CA 94131-2420
Phone
(415) 550-2230
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 141597 CA Primary

Addresses

Primary practice location

225 30TH St
San Francisco, CA 94131-2420

Mailing address

333 Cedar St
P.O. Box 208030
New Haven, CT 06510-3206
Phone (203) 688-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150604001884 CT Order and Referring Only - General PracticePractitioner - General Practice 0244551018
I20160719002632 CA Order and Referring Only - Geriatric MedicinePractitioner - General PracticePractitioner - Geriatric Medicine 0244551018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141597CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On Lok Senior Health Services PastSince Aug 8, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eshpall323846@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1841636131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "address_2": "P.O. BOX 208030",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-688-2984",
            "fax_number": "203-688-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 30TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312420",
            "telephone_number": "415-550-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPALL",
        "first_name": "ELANA",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "141597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.