DR. SHISH ALI MOHAMMAD MD
NPI 1093323974
Pediatrics in Lancaster, CA

Q: What is Shish Mohammad's NPI number?

The NPI number for Shish Mohammad is 1093323974. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Shish Mohammad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shish Mohammad was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 16, 2020PECOS Enrolled

45124 10TH ST W, LANCASTER, CA 93534(562) 867-7999 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2020, Jul 16, 2020 (2 updates tracked since 2020).

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About Dr. Shish Ali Mohammad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHISH ALI MOHAMMAD MD (NPI 1093323974) is an individual pediatrics provider in Lancaster, California, licensed in California (A190665) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1093323974

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SHISH ALI MOHAMMADCredential: MD

Location Address45124 10TH ST WLancaster, CA 93534-2310

Mailing Address5650 Jillson StCommerce, CA 90040-1482 · (562) 867-7999

Phone(562) 867-7999

Sole ProprietorYes

Enumeration DateJuly 16, 2020

Last NPPES UpdateDecember 26, 20232 updates tracked since enumeration

NPPES CertifiedDecember 26, 2023

✔ NPI 1093323974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A190665

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

45124 10TH ST W, Lancaster, CA 93534

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Secondary Practice Location 1

Location 145104 10th St WLancaster, CA 93534-2310 · Phone (562) 867-7999

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shish Ali Mohammad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SAM NGO

Dentist (General Practice)