DONOVAN SHIELDS PHYSICAL THERAPIST
NPI 1124497110
General Acute Care Hospital in Vacaville, CA
About Donovan Shields Physical Therapist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONOVAN SHIELDS PHYSICAL THERAPIST (NPI 1124497110) is an individual general acute care hospital provider in Vacaville, California, licensed in California (38935) and active in the NPI registry since September 2015.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Donovan Shields Physical Therapist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Donovan Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Donovan Shields's NPI number?
The NPI number for Donovan Shields is 1124497110. It was assigned to this individual provider in the NPPES registry on September 19, 2015.
Where is Donovan Shields located?
Donovan Shields practices at 1 Quality Dr, Vacaville, CA 95688. The listed phone number is (707) 624-1833.
What is Donovan Shields's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Donovan Shields enrolled in Medicare?
Yes. Donovan Shields is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Donovan Shields's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donovan Shields reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Donovan Shields'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 Donovan Shields was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Donovan Shields, PHYSICAL THERAPIST · NPI 1124497110
General Acute Care Hospital provider in Vacaville, California. Individual provider, active in the CMS NPPES registry since September 19, 2015.
## Identity
- **NPI:** 1124497110 (Entity type: Individual)
- **Enumerated:** September 19, 2015
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **State license:** 38935 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 QUALITY DR, Vacaville, CA 95688-9494
- **Phone:** (707) 624-1833
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124497110) · Data from the CMS NPPES public registry.