SHAKKAURA EBONY JEWEL KEMET- ROSENWOHL MD
NPI 1013597665
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 08, 2021PECOS Enrolled
1001 PORTRERO AVE, SAN FRANCISCO, CA 94110(415) 206-4069 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Apr 14, 2021, Apr 8, 2021 (3 updates tracked since 2021).

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

NPI1013597665
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAKKAURA EBONY JEWEL KEMET- ROSENWOHLCredential: MD
Location Address1001 PORTRERO AVESan Francisco, CA 94110-3518
Mailing Address1001 Portrero AveSan Francisco, CA 94110-3518
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateMarch 29, 20233 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1013597665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1001 PORTRERO AVE, San Francisco, CA 94110

Secondary Practice Location 1

Location 11825 4th StSan Francisco, CA 94143-2350 · Phone (415) 353-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID840685152
PECOS Enrollment IDI20251110002218
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Surgery (Surgical Critical Care)
1001 PORTRERO AVE
SAN FRANCISCO, CA 94110
Registered Nurse (Addiction (Substance Use Disorder))
1001 PORTRERO AVE
SAN FRANCISCO, CA 94110
Emergency Medicine
1001 PORTRERO AVE, RM 1E21
SAN FRANCISCO, CA 94110
Student in an Organized Health Care Education/Training Program
1001 PORTRERO AVE, BLDG 80-83
SAN FRANCISCO, CA 94110
Student in an Organized Health Care Education/Training Program
1001 PORTRERO AVE, BLDG 80-83
SAN FRANCISCO, CA 94110
Anesthesiology
1001 PORTRERO AVE
SAN FRANCISCO, CA 94110
Clinical Nurse Specialist (Psychiatric/Mental Health)
1001 PORTRERO AVE
SAN FRANCISCO, CA 94110
Registered Nurse
1001 PORTRERO AVE
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.

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.