Individual provider Active NPI

Suchir Ketan Sheth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Santa Monica, CA
National Provider Identifier
1982050209
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5904 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 465W
Santa Monica, CA 90404-2178
Phone
(717) 250-9383
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5904 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 465W
Santa Monica, CA 90404-2178

Mailing address

2001 Santa Monica Blvd Ste 465W
Santa Monica, CA 90404-2178
Phone (717) 250-9383

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://drdangeller.com/ Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000663 CA Practitioner - Podiatry 9133452840 Reassigns benefits to 3 organizations
Practice locations: Playa Vista, CA; Santa Barbara, CA; Banning, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheth and Patel Podiatry CorporationGroup PAC ID 3072013986, 3 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 465W
Santa Monica, CA 90404-2178
Phone (717) 250-9383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue21
Removal of nail tissue95
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5904CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheth & Patel Podiatry Corporation Foot & Ankle Surgery CurrentSince Aug 1, 2025 Accepting new patients
Suchir Sheth Podiatry Corporation CurrentSince Jul 1, 2023 Accepting new patients
Suchir Sheth Podiatry Corporation Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients
Jeffrey Demian Inc Foot & Ankle Surgery CurrentSince Feb 1, 2023 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
James F Eggold Past Accepting new patients
Convalescent Podiatry Care Past Accepting new patients
Suchir Sheth Podiatry Corporation PastSince Jul 1, 2023 Accepting new patients

Locations

1011 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (714) 774-1550

17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511

1000 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 395-5025

2001 Santa Monica Blvd
Ste 465W
Santa Monica, CA 90404
Phone (310) 395-5025

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 1

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1982050209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 465W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042178",
            "telephone_number": "717-250-9383",
            "fax_number": "281-901-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 465W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042178",
            "telephone_number": "717-250-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SUCHIR",
        "middle_name": "KETAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drdangeller.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2001 Santa Monica Blvd Ste 465W",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.