ASUTA MEDICAL GROUP INC
NPI 1104617315
Clinic/Center - Health Service in Van Nuys, CA
About Asuta Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASUTA MEDICAL GROUP INC (NPI 1104617315) is a healthcare organization registered as a health service in Van Nuys, California and active in the NPI registry since May 2025. The organization lists Elsagav Shaham, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Asuta Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Asuta Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Asuta Medical Group Inc's NPI number?
The NPI number for Asuta Medical Group Inc is 1104617315. It was assigned to this organization in the NPPES registry on May 15, 2025.
Where is Asuta Medical Group Inc located?
Asuta Medical Group Inc is located at 14545 Friar St Ste 236, Van Nuys, CA 91411. The listed phone number is (323) 636-3869.
What is Asuta Medical Group Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Asuta Medical Group Inc enrolled in Medicare?
Yes. Asuta Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Asuta Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Asuta Medical Group Inc, in General Practice, Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Asuta Medical Group Inc was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Asuta Medical Group Inc · NPI 1104617315
Health Service organization in Van Nuys, California. Organization record, active in the CMS NPPES registry since May 15, 2025.
## Identity
- **NPI:** 1104617315 (Entity type: Organization)
- **Enumerated:** May 15, 2025
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Elsagav Shaham, MD
## Practice location
- **Address:** 14545 FRIAR ST STE 236, Van Nuys, CA 91411-4719
- **Phone:** (323) 636-3869
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (2), Internal Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104617315) · Data from the CMS NPPES public registry.