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PATRICK KELLY SHANOVICH M.D.
NPI 1487854469
Emergency Medicine in Los Angeles, CA

Active since July 19, 2007PECOS Enrolled
1401 S GRAND AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90015(213) 742-5555 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Patrick Kelly Shanovich M.d. NPPES

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

PATRICK KELLY SHANOVICH M.D. (NPI 1487854469) is an individual emergency medicine provider in Los Angeles, California, licensed in California (NONE) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487854469
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePATRICK KELLY SHANOVICHCredential: M.D.
Location Address1401 S GRAND AVE, EMERGENCY DEPARTMENTLos Angeles, CA 90015-3010
Mailing Address1401 S Grand Ave, Emergency DepartmentLos Angeles, CA 90015-3010 · (213) 742-5555
Phone(213) 742-5555
Sole ProprietorYes
Enumeration DateJuly 19, 2007
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1487854469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · NONE
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.
1401 S GRAND AVE, Los Angeles, CA 90015
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Kelly Shanovich 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 Reassignments

3

Medicare enrollment records show Patrick Shanovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden State Emergency Physicians Inc
Same address
Emergency Medicine
1401 S GRAND AVE
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 169 clinicians in this Medicare group
NPI 1770886558 (855) 687-0618
County Of Los Angeles
1.0 mi
Clinic/Center
2829 S GRAND AVE
Los Angeles, CA 90007
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235142993 (213) 744-3677
Victory Emergency Physicians Medical Group Inc
3.0 mi
Emergency Medicine
1720 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group
NPI 1932402716 (855) 687-0618

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
62 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TATIANA MARIA VAZQUEZ DE LOS SANTOS
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 743-7300
BRANDON LEE
Nurse Anesthetist, Certified Registered
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
SARA GAYANE HAROUTUNIAN
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 743-7300
JAMIE SON
Physician Assistant
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
DR. PATRICK LENEHAN M.D.
Emergency Medicine
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
DR. CHRISTINE CHUNG M.D.
Anesthesiology
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (818) 391-8500
DR. ONUR YENIGUN MD
Emergency Medicine
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
MIRIAM NWOBIARA IFEGWU
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 743-7300

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 Patrick Shanovich's NPI number?

The NPI number for Patrick Shanovich is 1487854469. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Patrick Shanovich located?

Patrick Shanovich practices at 1401 S Grand Ave Emergency Department, Los Angeles, CA 90015. The listed phone number is (213) 742-5555.

What is Patrick Shanovich's specialty?

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

Is Patrick Shanovich enrolled in Medicare?

Yes. Patrick Shanovich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patrick Shanovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Shanovich reassigns Medicare benefits to 3 organizations: Golden State Emergency Physicians Inc (Los Angeles, CA), County Of Los Angeles (Los Angeles, CA) and Victory Emergency Physicians Medical Group Inc (Los Angeles, 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 Patrick Shanovich'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 Patrick Shanovich was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.