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DR. SHANE PETRITES MD
NPI 1275020307
Emergency Medicine in Oakland, CA

Active since April 14, 2018
84/100
CMS Quality Rating
1411 EAST 31ST STREET QIC 22123, OAKLAND, CA 94602(510) 437-4564 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2022, Oct 12, 2021, Apr 14, 2018 (3 updates tracked since 2018).

About Dr. Shane Petrites Md NPPES

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

DR. SHANE PETRITES MD (NPI 1275020307) is an individual emergency medicine provider in Oakland, California, licensed in California (A166937) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1275020307
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHANE PETRITESCredential: MD
Location Address1411 EAST 31ST STREET QIC 22123Oakland, CA 94602
Mailing Address1411 East 31st Street Qic 22123Oakland, CA 94602
Phone(510) 437-4564
Sole ProprietorYes
Enumeration DateApril 14, 2018
Last NPPES UpdateMay 20, 20223 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1275020307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A166937
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1411 EAST 31ST STREET QIC 22123, Oakland, CA 94602
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.06
Promoting Interoperability100
Improvement Activities40
Cost63.61

Other Providers at the Same Location NPPES

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

DR. MARISA ZULUAGA MD
Emergency Medicine
1411 EAST 31ST STREET QIC 22123, HIGHLAND HOSPITAL
OAKLAND, CA 94602
Alameda County (510) 437-4564

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 Shane Petrites's NPI number?

The NPI number for Shane Petrites is 1275020307. It was assigned to this individual provider in the NPPES registry on April 14, 2018.

Where is Shane Petrites located?

Shane Petrites practices at 1411 East 31st Street Qic 22123, Oakland, CA 94602. The listed phone number is (510) 437-4564.

What is Shane Petrites's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Shane Petrites was last updated on May 20, 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.