SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.
NPI 1245249770
Internal Medicine - Critical Care Medicine in Redding, CA

Active since August 05, 2006CLIA 05D1019618 · Microscopy
2701 OLD EUREKA WAY, SUITE 1E, REDDING, CA 96001(530) 232-3000(530) 232-3099 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2024, Sep 14, 2022 (2 updates tracked since 2022).

About Shasta Critical Care Specialists Medical Clinic, Inc. NPPES

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

SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. (NPI 1245249770) is a healthcare organization registered as a critical care medicine in Redding, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through November 20, 2027 and lists Rafael Lupercio, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1245249770
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameSHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.
Location Address2701 OLD EUREKA WAY, SUITE 1ERedding, CA 96001-0228
Mailing Address2701 Old Eureka Way Ste 1eRedding, CA 96001-0228 · (530) 232-3000 · Fax (530) 242-8545
Fax(530) 232-3099
Organization SubpartNo
Authorized OfficialRafael LupercioAuthorized Official · (530) 232-3000
Enumeration DateAugust 5, 2006
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1245249770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
2701 OLD EUREKA WAY, Redding, CA 96001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shasta Critical Care Specialists Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Shasta Critical Care Specialists Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nephrology3
Nurse Practitioner3
Internal Medicine2
Pulmonary Disease2

Clinicians, nearest first (10)

Pulmonary Disease
NPI 1851670335
2701 OLD EUREKA WAY STE 1E
Redding, CA 96001
(530) 232-3000
✔ PECOSSame address
Internal Medicine
NPI 1861416661
2701 OLD EUREKA WAY STE 1E
Redding, CA 96001
(530) 232-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750933024
3689 EUREKA WAY
Redding, CA 96001
(530) 244-4577
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1942668215
2175 ROSALINE AVE
Redding, CA 96001
(530) 225-6000
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1598916884
1100 BUTTE ST
Redding, CA 96001
(530) 244-5434
✔ PECOS1.2 mi
Nephrology
NPI 1316956865
180 NORTHPOINT DR
Redding, CA 96003
(530) 232-3000
✔ PECOS✔ Accepts Medicare2.6 mi
Pulmonary Disease
NPI 1174532618
180 NORTHPOINT DR
Redding, CA 96003
(530) 232-3000
✔ PECOS✔ Accepts Medicare2.6 mi
Nephrology
NPI 1356350821
180 NORTHPOINT DR
Redding, CA 96003
(530) 232-3000
✔ PECOS✔ Accepts Medicare2.6 mi
Nephrology
NPI 1215360508
1625 N CAMPBELL AVE
Tucson, AZ 85719
(520) 626-6371
✔ PECOS✔ Accepts Medicare860 mi
Internal Medicine
NPI 1609099969
300 S 8TH ST SUITE 480 WEST
Murray, KY 42071
(278) 753-0704
✔ PECOS✔ Accepts Medicare1,854 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1019618

Shasta Critical Care Specialists Medical Clinic, Inc · Redding, CA
Active · expires Nov 20, 2027
CLIA Number05D1019618
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorJeffrey Krahling MD
Laboratory Phone(530) 232-3000
Laboratory LocationShasta Critical Care Specialists Medical Clinic, Inc2701 Old Eureka Way Ste 1-E, Redding, CA 96001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Shasta Critical Care Specialists Medical Clinic, Inc.'s NPI number?

The NPI number for Shasta Critical Care Specialists Medical Clinic, Inc. is 1245249770. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Shasta Critical Care Specialists Medical Clinic, Inc. located?

Shasta Critical Care Specialists Medical Clinic, Inc. is located at 2701 Old Eureka Way Suite 1E, Redding, CA 96001. The listed phone number is (530) 232-3000.

What is Shasta Critical Care Specialists Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Shasta Critical Care Specialists Medical Clinic, Inc. enrolled in Medicare?

Yes. Shasta Critical Care Specialists Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shasta Critical Care Specialists Medical Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Shasta Critical Care Specialists Medical Clinic, Inc.. 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. The largest specialties are Nephrology (3), Nurse Practitioner (3) and Internal Medicine (2). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shasta Critical Care Specialists Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1019618) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shasta Critical Care Specialists Medical Clinic, Inc. was last updated on October 2, 2024. 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.