Individual provider Active NPI

Mie Shirai, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
National Provider Identifier
1982847232
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E 4826 Issued in CA
Practice address
304 Cherry Ave
Long Beach, CA 90802-3848
Phone
(562) 433-0478
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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 E 4826 CA Primary

Addresses

Primary practice location

304 Cherry Ave
Long Beach, CA 90802-3848

Mailing address

304 Cherry Ave
Long Beach, CA 90802-3848
Phone (562) 433-0478

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
I20091103000325 CA Practitioner - Podiatry 3476691965 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard H Graves DPM IncGroup PAC ID 7315222825, 4 clinicians

Practice addresses (Care Compare)

304 Cherry Ave
Long Beach, CA 90802-3848
Phone (562) 433-0478

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue304
Removal of nail tissue576
Removal or shaving of skin growth63
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4826CAMDAcupuncturist
E 4826CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard H Graves DPM Inc CurrentSince Sep 1, 2017 Accepting new patients
Richard H Graves DPM PC Foot & Ankle Surgery CurrentSince Sep 1, 2017 Accepting new patients
Dignity Health Past Accepting new patients

Locations

304 Cherry Ave
Long Beach, CA 90802
Phone (562) 433-0478

2333 Pacific Ave
Long Beach, CA 90806
Phone (562) 426-5151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1982847232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023848",
            "telephone_number": "562-433-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023848",
            "telephone_number": "562-433-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAI",
        "first_name": "MIE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 4826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.