MRS. ELIZABETH S GENDY-SHAKER M.D. - NPI 1992912950

Q: What is Elizabeth Gendy-shaker's NPI number?

The NPI number for Elizabeth Gendy-shaker is 1992912950. It was assigned to this individual provider in the NPPES registry on May 17, 2007. The provider is also known as Mrs. Elizabeth S Gendy M.D..

Q: What is Elizabeth Gendy-shaker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

On this page

About Mrs. Elizabeth S Gendy-shaker M.d. NPPES

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

MRS. ELIZABETH S GENDY-SHAKER M.D. (NPI 1992912950) is an individual pediatric pulmonology provider in Redlands, California, licensed in California (A97366) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992912950

Entity TypeIndividualFemale

Primary Taxonomy2080P0214X

Provider Legal NameMRS. ELIZABETH S GENDY-SHAKERCredential: M.D.

Location Address1690 BARTON RD STE 104Redlands, CA 92373-4230

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203

Phone(909) 795-4747

Fax(909) 793-8146

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1992912950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

Licenses✔ Licensed in CA · A97366✔ Licensed in AZ · 45113

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatricsTaxonomy 208000000X · License A97366 (CA), 45113 (AZ)

1690 BARTON RD STE 104, Redlands, CA 92373

Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Elizabeth S Gendy M.d.

Other Identifiers 1

Medicaid664353AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth S Gendy-shaker 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.

Other Providers at the Same Location NPPES 7

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

DR. VARONICA DIXON M.D.

Pediatrics