DR. ANTHONY ELI SHOO M.D.
NPI 1396087979
Pediatrics - Neonatal-Perinatal Medicine in Loma Linda, CA

Q: What is Anthony Shoo's NPI number?

The NPI number for Anthony Shoo is 1396087979. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Q: What is Anthony Shoo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Shoo was last updated on May 22, 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.

Active since March 21, 2013PECOS Enrolled

11234 ANDERSON ST # 3400, LOMA LINDA, CA 92354(909) 558-4771 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2023, Dec 19, 2017 (2 updates tracked since 2017).

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About Dr. Anthony Eli Shoo M.d. NPPES

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

DR. ANTHONY ELI SHOO M.D. (NPI 1396087979) is an individual neonatal-perinatal medicine provider in Loma Linda, California, licensed in California (A157593) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396087979

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. ANTHONY ELI SHOOCredential: M.D.

Location Address11234 ANDERSON ST # 3400Loma Linda, CA 92354-2804

Mailing Address11234 Anderson St # 3400Loma Linda, CA 92354-2804 · (909) 558-4771

Phone(909) 558-4771

Sole ProprietorYes

Enumeration DateMarch 21, 2013

Last NPPES UpdateMay 22, 20242 updates tracked since enumeration

NPPES CertifiedMay 22, 2024

✔ NPI 1396087979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A157593

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 17041 (NV)

11234 ANDERSON ST # 3400, Loma Linda, CA 92354

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Secondary Practice Locations 2

Location 12040 W Charleston Blvd Ste 402Las Vegas, NV 89102-2250 · Phone (702) 671-2236

Location 210001 S Eastern Ave Ste 310Henderson, NV 89052-3908 · Phone (702) 566-2400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Eli Shoo M.d. 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 Anthony Shoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

Same address

Anatomic Pathology & Clinical Pathology

11234 ANDERSON ST
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1245605781 (909) 558-6122

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

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

RUOFAN YAO M.D.

Obstetrics & Gynecology

11234 ANDERSON ST # 3400
LOMA LINDA, CA 92354

San Bernardino County (909) 651-5708

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 Anthony Shoo's NPI number?

The NPI number for Anthony Shoo is 1396087979. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Anthony Shoo located?

Anthony Shoo practices at 11234 Anderson St # 3400, Loma Linda, CA 92354. The listed phone number is (909) 558-4771.

What is Anthony Shoo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Anthony Shoo enrolled in Medicare?

Yes. Anthony Shoo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Shoo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Shoo reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, 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 Anthony Shoo'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 Anthony Shoo was last updated on May 22, 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.