SAMANTHA LEE SHIRA MD
NPI 1558702811
Family Medicine in Santa Monica, CA

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
2121 WILSHIRE BLVD STE 307, SANTA MONICA, CA 90403(310) 264-0165 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Nov 15, 2020 (2 updates tracked since 2020).

About Samantha Lee Shira Md NPPES

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

SAMANTHA LEE SHIRA MD (NPI 1558702811) is an individual family medicine provider in Santa Monica, California, licensed in California (A156578) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of University Of Arizona College Of Medicine (2013).

NPPES Registry Identity

NPI1558702811
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA LEE SHIRACredential: MD
Location Address2121 WILSHIRE BLVD STE 307Santa Monica, CA 90403-5743
Mailing Address2121 Wilshire Blvd Ste 307Santa Monica, CA 90403-5743 · (310) 264-0165
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2013
Enumeration DateJuly 15, 2013
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2020
NPI 1558702811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A156578 Licensed in WA · ML 60382470
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2121 WILSHIRE BLVD STE 307, Santa Monica, CA 90403

Secondary Practice Location 1

Location 1100 E 33rd St, Suite 100Vancouver, WA 98663-2776 · Phone (360) 514-7550 · Fax (360) 514-7553

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Lee Shira Md 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.

PECOS PAC ID941429914
PECOS Enrollment IDI20181019001273
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 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

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

Internal Medicine
2121 WILSHIRE BLVD STE 307
SANTA MONICA, CA 90403

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 Samantha Shira's NPI number?

The NPI number for Samantha Shira is 1558702811. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Samantha Shira located?

Samantha Shira practices at 2121 Wilshire Blvd Ste 307, Santa Monica, CA 90403. The listed phone number is (310) 264-0165.

What is Samantha Shira's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Shira enrolled in Medicare?

Yes. Samantha Shira 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.

When was this NPI record last updated?

The NPPES record for Samantha Shira was last updated on December 3, 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.