DR. SANFORD J SHATTIL M.D. NPI 1679530844

Internal Medicine in San Diego, CA

Individual Male Years of Experience 53 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About SANFORD SHATTIL

Sanford Shattil is an internal medicine provider established in San Diego, California and his medical specialization is internal medicine with more than 53 years of experience. He graduated from University Of Illinois At Chicago Health Science Center in 1968. The NPI number of Sanford Shattil is 1679530844 and was assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number G22082 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

An internist like Dr. Sanford J Shattil M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Sanford Shattil is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Sanford Shattil is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Uc San Diego Health Hillcrest - Hillcrest Med Ctr.

NPI

1679530844

Provider NameDR. SANFORD J SHATTIL M.D.
Provider Location Address200 W ARBOR DR UCSD MEDICAL CENTER SAN DIEGO, CA 92103
Provider Mailing Address9500 GILMAN DR UCSD, LEICHTAG BIOMEDICAL RESEARCH BLDG, ROOM 180 LA JOLLA, CA 92093
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year1968
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date04-28-2006
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.G22082
License StateCA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. SANFORD J SHATTIL M.D.
200 W ARBOR DR
UCSD MEDICAL CENTER
SAN DIEGO, CA
ZIP 92103
Phone: (888) 309-8273
Fax: (619) 543-3183

Get Directions

Mailing Address

DR. SANFORD J SHATTIL M.D.
9500 GILMAN DR
UCSD, LEICHTAG BIOMEDICAL RESEARCH BLDG, ROOM 180
LA JOLLA, CA
ZIP 92093
Phone: (858) 822-6425
Fax: (858) 822-6444

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2466414966
PECOS Enrollment IDI20041027000940
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sanford Shattil is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR200 WEST ARBOR DRIVE
SAN DIEGO, CA 92103
(619) 543-6222Acute Care Hospitals50025

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyG22082CAN/A

Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
B40166MEDICARE UPIN (02)
00G220820MEDICAID (05)CA
WG22082KMEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043215502DR. ALFREDO B. TIU D.O.
Individual
Internal Medicine (Nephrology)200 W ARBOR DR OWEN CLINIC
SAN DIEGO, CA 92103
(619) 543-2415
1073561072 JARDENA GARNER PA
Individual
Physician Assistant200 W ARBOR DR UCSD MEDICAL CENTER - DEPARTMENT OF ORTHOPEDICS
SAN DIEGO, CA 92103
(619) 543-2539
1144278805DR. NIKHIL KANSAL M.D.
Individual
Surgery200 W ARBOR DR MC 8201
SAN DIEGO, CA 92103
(619) 543-1899
1154389328MS. CHRISTINE ELIZABETH ROBINSON APRN, BC
Individual
Nurse Practitioner (Primary Care)200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 294-3777
1205893476DR. DAVID KRAVETZ M.D.
Individual
Internal Medicine (Gastroenterology)200 W ARBOR DR MC 8201
SAN DIEGO, CA 92103
(619) 543-2347
1255301370DR. MICHAEL WARREN NIELSEN MD
Individual
Emergency Medicine200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-6236
1295721884 JOHN T BESTOSO M.D.
Individual
Internal Medicine (Nephrology)200 W ARBOR DR UCSD MEDICAL CENTER, SUITE 8781
SAN DIEGO, CA 92103
(619) 543-7310
1356319891 PAUL JOSEPH GIRARD M.D.
Individual
Orthopaedic Surgery200 W ARBOR DR ORTHOPAEDIC SURGERY CLINIC, MAIL CODE 8670
SAN DIEGO, CA 92103
(619) 543-6312
1467427898MRS. CHRISTINE ANN CORTES CNM
Individual
Advanced Practice Midwife200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-3163
1477501450DR. KARL YODER HOSTETLER M.D.
Individual
Internal Medicine200 W ARBOR DR UCSD MEDICAL CENTER
SAN DIEGO, CA 92103
(858) 657-8440
1497713846DR. RICHARD BRIAN WOLF DO
Individual
Obstetrics & Gynecology200 W ARBOR DR REPRO MED, #8433
SAN DIEGO, CA 92103
(619) 543-2384
1497734297 JESSICA EMELIN MD
Individual
Plastic Surgery200 W ARBOR DR
SAN DIEGO, CA 92103
(916) 543-5887
1609824093DR. WILLIAM H. SIMPSON M.D.
Individual
Obstetrics & Gynecology (Obstetrics)200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-6600
1689669863DR. NAVPARKASH SANDHU M.D.
Individual
Anesthesiology200 W ARBOR DR UCSD MED CENTER
SAN DIEGO, CA 92103
(619) 543-5742
1710944426DR. ROSALIND B DIETRICH MD
Individual
Radiology (Diagnostic Radiology)200 W ARBOR DR MC 8756
SAN DIEGO, CA 92103
(619) 543-6766
1750349866DR. SVETLANA KATSEV M.D.
Individual
Internal Medicine (Cardiovascular Disease)200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-7230
1831157122DR. ASHOK R PARAMESWARAN MD
Individual
Psychiatry & Neurology (Psychiatry)200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-3995
1841258050 ROBERT TERKELTAUB M.D.
Individual
Internal Medicine200 W ARBOR DR
SAN DIEGO, CA 92103
(858) 657-6110
1881691772DR. SIDNEY MERRITT MD
Individual
Anesthesiology200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-5720
1922065606DR. DAVID BUTLER HOYT M.D.
Individual
Surgery200 W ARBOR DR
SAN DIEGO, CA 92103
(619) 543-7200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.