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JACK SHENOUDA MD CORP
NPI 1962987222
Internal Medicine in Thousand Oaks, CA

Active since October 02, 2018
1016 CACTUS CT, THOUSAND OAKS, CA 91320(717) 557-3938 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack Shenouda Md Corp NPPES

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

JACK SHENOUDA MD CORP (NPI 1962987222) is a healthcare organization registered as an internal medicine in Thousand Oaks, California and active in the NPI registry since October 2018. The organization lists Jack Shenouda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962987222
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACK SHENOUDA MD CORP
Location Address1016 CACTUS CTThousand Oaks, CA 91320-5907
Mailing Address1016 Cactus CtThousand Oaks, CA 91320-5907
Phone(717) 557-3938
Organization SubpartNo
Authorized OfficialJack ShenoudaCeo · (717) 557-3938
Enumeration DateOctober 2, 2018
✔ NPI 1962987222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A 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.
1016 CACTUS CT, Thousand Oaks, CA 91320
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Jack Shenouda Md Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jack Shenouda MD Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Shenouda, M.D.
Internal Medicine
NPI 1023247822
1600 N ROSE AVE
Oxnard, CA 93030
(717) 577-3938
✔ PECOS✔ Accepts Medicare14 mi

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 Jack Shenouda MD Corp's NPI number?

The NPI number for Jack Shenouda MD Corp is 1962987222. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Jack Shenouda MD Corp located?

Jack Shenouda MD Corp is located at 1016 Cactus Ct, Thousand Oaks, CA 91320. The listed phone number is (717) 557-3938.

What is Jack Shenouda MD Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Shenouda MD Corp enrolled in Medicare?

Yes. Jack Shenouda MD Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack Shenouda MD Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jack Shenouda MD Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jack Shenouda MD Corp was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.