SHAKKAURA EBONY JEWEL KEMET- ROSENWOHL MD
NPI 1013597665
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Shakkaura Ebony Jewel Kemet- Rosenwohl Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAKKAURA EBONY JEWEL KEMET- ROSENWOHL MD (NPI 1013597665) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of California, San Francisco School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shakkaura Ebony Jewel Kemet- Rosenwohl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shakkaura Kemet- Rosenwohl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shakkaura Kemet- Rosenwohl's NPI number?
The NPI number for Shakkaura Kemet- Rosenwohl is 1013597665. It was assigned to this individual provider in the NPPES registry on April 8, 2021.
Where is Shakkaura Kemet- Rosenwohl located?
Shakkaura Kemet- Rosenwohl practices at 1001 Portrero Ave, San Francisco, CA 94110. The listed phone number is (415) 206-4069.
What is Shakkaura Kemet- Rosenwohl's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shakkaura Kemet- Rosenwohl enrolled in Medicare?
Yes. Shakkaura Kemet- Rosenwohl is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shakkaura Kemet- Rosenwohl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shakkaura Kemet- Rosenwohl reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shakkaura Kemet- Rosenwohl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shakkaura Kemet- Rosenwohl was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shakkaura Ebony Jewel Kemet- Rosenwohl, MD · NPI 1013597665
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1013597665 (Entity type: Individual)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 PORTRERO AVE, San Francisco, CA 94110-3518
- **Phone:** (415) 206-4069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** March 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013597665) · Data from the CMS NPPES public registry.