Individual provider Active NPI

Malak Philippe Zacca Shammas, MD

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1902957764
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80339 Issued in CA
Practice address
9400 Brighton Way
Suite 201
Beverly Hills, CA 90210-4714
Phone
(310) 271-6229
Fax
(310) 271-9139
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 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 G80339 CA Primary

Addresses

Primary practice location

9400 Brighton Way
Suite 201
Beverly Hills, CA 90210-4714

Mailing address

PO Box 492463
Los Angeles, CA 90049-8463
Phone (310) 271-6229

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
I20090113000583 CA Practitioner - Internal Medicine 2466515762 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 310
Beverly Hills, CA 90211-2003
Phone (310) 271-6229

Hospital & facility affiliations

  • Above Care Home Health, Inc Home health agency, Glendale, CA, CCN 559180
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Picture and Television Fund Medical Group, Inc Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: malakshammas.44.1@securemailmdscloud.mdsynergy.com

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.

Hospital & facility affiliations 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1902957764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492463",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900498463",
            "telephone_number": "310-271-6229",
            "fax_number": "310-271-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104714",
            "telephone_number": "310-271-6229",
            "fax_number": "310-271-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCA SHAMMAS",
        "first_name": "MALAK",
        "middle_name": "PHILIPPE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.