Individual provider Active NPI

Adam Humam Shurbaji, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1861855033
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A158107 Issued in CA
Practice address
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone
(415) 600-6000
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 A158107 CA Primary

Addresses

Primary practice location

3555 Cesar Chavez
San Francisco, CA 94110-4403

Mailing address

601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200
Phone (415) 531-9047

Other practice location 1

45 Castro St
San Francisco, CA 94114-1010
Phone (415) 600-6000

Other practice location 2

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217000562 CA Practitioner - HospitalistPractitioner - Internal Medicine 2062849862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Inpatient Medical GroupGroup PAC ID 6608956966, 128 clinicians

Practice addresses (Care Compare)

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 485-8824

Hospital & facility affiliations

  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158107CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Feb 1, 2020 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Oct 21, 2019 Accepting new patients
Pacific Inpatient Medical Group Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

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

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

601 Van Ness Ave
Ste E3619
San Francisco, CA 94102
Phone (415) 531-9047

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

Interoperability endpoints

  • Direct secure messaging: ashurbaji668423@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 3

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1861855033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE STE E3619",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023200",
            "telephone_number": "415-531-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CESAR CHAVEZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104403",
            "telephone_number": "415-600-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Castro St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941141010",
            "country_code": "US",
            "telephone_number": "415-600-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096919",
            "country_code": "US",
            "telephone_number": "415-600-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURBAJI",
        "first_name": "ADAM",
        "middle_name": "HUMAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A158107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.