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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shish Mohammad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jwch Institute, Inc.
43 mi
Federally Qualified Health Center (FQHC)
954 N VERMONT
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 138 clinicians in this Medicare group
NPI 1598829350 (323) 201-4516

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16

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

MR. SAM NGO
Dentist (General Practice)
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (562) 867-7999
JWCH INSTITUTE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (866) 733-5924
IRENE KANG DDS
Dentist (General Practice)
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (562) 867-7999
LUCIA PIRIR XOCHIMITL
Social Worker (Clinical)
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (323) 201-4516
DR. CHARIS SARAYBA YATCO DDS
Dentist (General Practice)
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (562) 867-7999
LOUSINE AGASARKISIAN
Pediatrics
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (562) 867-7999
CHRISTOPHER ANTHONY VARGHESE MD
Family Medicine
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (562) 867-7999
APARNA KALEECKAL RAJALAKSHMI M.B.B.S.
Pediatrics
45124 10TH ST W
LANCASTER, CA 93534
Los Angeles County (562) 867-7999

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 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.

Where is Shish Mohammad located?

Shish Mohammad practices at 45124 10th St W, Lancaster, CA 93534. The listed phone number is (562) 867-7999.

What is Shish Mohammad's specialty?

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

Is Shish Mohammad enrolled in Medicare?

Yes. Shish Mohammad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shish Mohammad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shish Mohammad reassigns Medicare benefits to Jwch Institute, Inc. (Los Angeles, 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 Shish Mohammad'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 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.