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SHASTA COMMUNITY MEDICAL GROUP
NPI 1396990545
Hospitalist in Redding, CA

Active since December 01, 2008
1355 EAST ST STE 200, REDDING, CA 96001(530) 605-4263 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shasta Community Medical Group NPPES

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

SHASTA COMMUNITY MEDICAL GROUP (NPI 1396990545) is a healthcare organization registered as a hospitalist in Redding, California and active in the NPI registry since December 2008. The organization lists Venkamma Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1396990545
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameSHASTA REGIONAL MEDICAL GROUP INC
Location Address1355 EAST ST STE 200Redding, CA 96001-0801
Mailing Address16850 Bear Valley RdVictorville, CA 92395-5794 · (760) 241-8000
Phone(530) 605-4263
Organization SubpartNo
Authorized OfficialVenkamma ReddyPresident · (530) 605-4263
Enumeration DateDecember 1, 2008
Last NPPES UpdateAugust 30, 2019
✔ NPI 1396990545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
1355 EAST ST STE 200, Redding, CA 96001
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Other Names 1

Doing Business AsShasta Community Medical Group

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 Community Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Shasta Community Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner14
Family Practice13
Internal Medicine13
Cardiac Surgery4
Psychiatry4
Emergency Medicine3
Hospitalist3
Thoracic Surgery3
4 other specialties6

Nearest to this location (20)

See all 63
Cynthia Dillon, M.D.
Family Practice
NPI 1619977527
1355 EAST ST SUITE 110
Redding, CA 96001
(530) 229-7891
✔ PECOSSame address
Richard Martinez, MD
Family Practice
NPI 1578615647
1355 EAST ST SUITE 200
Redding, CA 96001
(530) 605-4260
✔ PECOSSame address
Jonie Wade, FNP-C
Nurse Practitioner
NPI 1194234104
1355 EAST ST STE 200
Redding, CA 96001
(530) 604-4325
✔ PECOS✔ Accepts MedicareSame address
Jose Barrios, M.D.
Family Practice
NPI 1346400116
1100 BUTTE ST
Redding, CA 96001
(530) 244-5126
✔ PECOS0.1 mi
Raven Jennings, FNP
Nurse Practitioner
NPI 1356143259
1100 BUTTE ST
Redding, CA 96001
(530) 244-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Sethu Sandeep Koneru, MD
Internal Medicine
NPI 1366178154
1100 BUTTE ST
Redding, CA 96001
(530) 605-4263
✔ PECOS✔ Accepts Medicare0.1 mi
Akari Kyaw, MD
Internal Medicine
NPI 1982125829
1100 BUTTE ST
Redding, CA 96001
(530) 244-8349
✔ PECOS✔ Accepts Medicare0.1 mi
Khalid Mahmood
Internal Medicine
NPI 1508516766
1100 BUTTE ST
Redding, CA 96001
(530) 244-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Brett Ohlfs, M.D.
Emergency Medicine
NPI 1144238734
1100 BUTTE ST EMERGENCY MEDICINE DEPARTMENT
Redding, CA 96001
(530) 244-5353
✔ PECOS✔ Accepts Medicare0.1 mi
Lloyd Pena, M.D.
Emergency Medicine
NPI 1699863381
1100 BUTTE ST
Redding, CA 96001
(530) 244-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Riaz Malik, M.D.
General Surgery
NPI 1003837543
1555 EAST ST SUITE 200
Redding, CA 96001
(530) 246-7400
✔ PECOS✔ Accepts Medicare0.2 mi
Alicia Adams, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1164194247
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts Medicare0.3 mi
Imram Khan, MD
Psychiatry
NPI 1861514531
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts Medicare0.3 mi
Debra Lupeika, MD
Family Practice
NPI 1780697607
1035 PLACER ST
Redding, CA 96001
(530) 246-5883
✔ PECOS✔ Accepts Medicare0.3 mi
Sara Choudhry, M.D.
Family Practice
NPI 1023225521
1035 PLACER STREET
Redding, CA 96001
(530) 246-5721
✔ PECOS✔ Accepts Medicare0.3 mi
Bruce Kittrick, MD
Hospitalist
NPI 1972511012
SHASTA REGIONAL MEDICAL CENTER 1000 BUTTE ST
Redding, CA 96001
(530) 244-5400
✔ PECOS0.5 mi
Amit Bawa, M.D.
Family Practice
NPI 1629206453
1836 GOLD ST
Redding, CA 96001
(702) 453-3799
✔ PECOS✔ Accepts Medicare0.6 mi
Renu Magu, M.D.
Internal Medicine
NPI 1093992380
1836 GOLD ST
Redding, CA 96001
(702) 453-3799
✔ PECOS✔ Accepts Medicare0.6 mi
Prathibha Chandrasekaran, M.D.
Gastroenterology
NPI 1114985819
1825 SONOMA ST
Redding, CA 96001
(530) 243-8667
✔ PECOS✔ Accepts Medicare0.8 mi
Dan Rusu, MD
Hospitalist
NPI 1497833883
2175 ROSALINE AVE
Redding, CA 96001
(530) 241-1473
✔ PECOS✔ Accepts Medicare1.0 mi
See all 63 clinicians

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 Shasta Regional Medical Group Inc's NPI number?

The NPI number for Shasta Regional Medical Group Inc is 1396990545. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is doing business as Shasta Community Medical Group.

Where is Shasta Regional Medical Group Inc located?

Shasta Regional Medical Group Inc is located at 1355 East St Ste 200, Redding, CA 96001. The listed phone number is (530) 605-4263.

What is Shasta Regional Medical Group Inc's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shasta Regional Medical Group Inc enrolled in Medicare?

Yes. Shasta Regional Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shasta Regional Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 12 Medicare specialties reassign their Medicare billing to Shasta Regional Medical Group 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 Nurse Practitioner (14), Family Practice (13) and Internal Medicine (13). Of these, 3 practice at this address and 26 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 Shasta Regional Medical Group Inc was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.