DR. SHANON THOMAS PETER M.D.
NPI 1447554035
Internal Medicine in Los Angeles, CA
About Dr. Shanon Thomas Peter M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANON THOMAS PETER M.D. (NPI 1447554035) is an individual internal medicine provider in Los Angeles, California, licensed in California (A118076) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2010).
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 and accepts Medicare assignment
Dr. Shanon Thomas Peter M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shanon Peter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
San Mateo, CA 94403
- Reassigned Medicare billing, California enrollment
- 430 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
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 Shanon Peter's NPI number?
The NPI number for Shanon Peter is 1447554035. It was assigned to this individual provider in the NPPES registry on December 22, 2010.
Where is Shanon Peter located?
Shanon Peter practices at 11301 Wilshire Blvd Bldg 500, Room 3214B, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Shanon Peter's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shanon Peter enrolled in Medicare?
Yes. Shanon Peter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shanon Peter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanon Peter reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and County Of San Mateo (San Mateo, CA). Each 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 Shanon Peter'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 Shanon Peter was last updated on November 10, 2021. 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.
# Dr. Shanon Thomas Peter, M.D. · NPI 1447554035
Internal Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 22, 2010.
## Identity
- **NPI:** 1447554035 (Entity type: Individual)
- **Enumerated:** December 22, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A118076 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11301 WILSHIRE BLVD, BLDG 500, ROOM 3214B, Los Angeles, CA 90073-1003
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); County Of San Mateo (NPI 1831268580, San Mateo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers R W Johnson Medical School, class of 2010
## Record status
- **NPPES last updated:** November 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447554035) · Data from the CMS NPPES public registry.