Active NPI
William Rodman Shankle, MS, M.D.
- Neurology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G55639
- Practice address
- 3900 W Coast Hwy Ste 310
Newport Beach, CA 92663-4093 - Phone
- (949) 478-8858
- Fax
- (949) 242-2465
- NPI assigned
- Jan 31, 2007
- Last updated
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G55639 | CA | Primary |
Addresses
Primary practice location
3900 W Coast Hwy Ste 310
Newport Beach, CA 92663-4093
Mailing address
3900 W Coast Hwy Ste 310
Newport Beach, CA 92663-4093
Phone (949) 478-8858
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Warren Alpert Medical School of Brown University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
369 San Miguel Dr
Suite 350
Newport Beach, CA 92660-7852
3900 W Coast Hwy
Suite 310
Newport Beach, CA 92663-4093
3900 W Coast Hwy 310
Newport Beach, CA 92663-4093
Hospital & facility affiliations
- Acacia Home Health Services
- Acacia HH&P of Southern California, LLC
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.33 of 100
- Quality
- 56.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55639 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R. Shankle MD Inc. | Neurology | Current | Accepting new patients |
Locations
369 San Miguel Dr
Ste 350
Newport Beach, CA 92660
Phone (949) 478-8858
3900 W Coast Hwy
Ste 310
Newport Beach, CA 92663
Phone (949) 478-8858
Interoperability endpoints
- shankleclinic.williamrshankle@117204.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Newport Beach, CA
- NPI 1265078786
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glendale, CA
- NPI 1396900890
-
- Home Health Agency
- Fountain Valley, CA
- NPI 1285096198
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1932246584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W COAST HWY STE 310",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634093",
"telephone_number": "949-478-8858",
"fax_number": "949-242-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W COAST HWY STE 310",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634093",
"telephone_number": "949-478-8858",
"fax_number": "949-242-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKLE",
"first_name": "WILLIAM",
"middle_name": "RODMAN",
"name_prefix": "Dr.",
"credential": "MS, M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G55639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.