John Anthony Shaheen, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G078334 Issued in CA

Practice address

910 Major Sherman LN
Suite 205
Monterey, CA 93940-4642

Phone

(831) 373-3600

Fax

(831) 373-0686

NPI assigned

Jul 21, 2006

Last updated

May 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• J. Anthony Shaheen MD Inc

  dba Monterey Urology Center

  • Urology Physician
  • Monterey, CA
  • NPI 1376717025
  NPD Authorized official
• Advanced Urology Health Center Inc

  • Ambulatory Surgical Clinic/Center
  • Monterey, CA
  • NPI 1619274164
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1932120474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAJOR SHERMAN LN",
            "address_2": "SUITE 205",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404642",
            "telephone_number": "831-373-3600",
            "fax_number": "831-373-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAJOR SHERMAN LN",
            "address_2": "SUITE 205",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404642",
            "telephone_number": "831-373-3600",
            "fax_number": "831-373-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G078334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "OOG783340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Shaffer, FNP-C
• Mike Wayne Shaffer
• Katrina Sinlinda Shah, AMFT
• Pir W Shah, M.D.
• Emile F Shaheen, M.D.
• Shaida Behnam MD Inc
• Molly Shank
• Liana S Shapiro-Lee, MA
• Matthew Daniel Shapiro, CCP
• Aditi Sharma, DDS

• Urology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.