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MRS. ELIZABETH S GENDY-SHAKER M.D.
NPI 1992912950
Pediatrics - Pediatric Pulmonology in Redlands, CA

Active since May 17, 2007PECOS Enrolled
1690 BARTON RD STE 104, REDLANDS, CA 92373(909) 795-4747(909) 793-8146 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Nov 29, 2017 (2 updates tracked since 2017).

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
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Other Names 1

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

Other Identifiers 1

Medicaid664353AZ

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Gendy-shaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaver Medical Group P C
1.4 mi
Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
NPI 1649503319 (909) 793-3311
Healthcare Partners Affiliates Medical Group
42 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864

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

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
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 793-2896
DR. JULIA ANN WHITE M.D.
Pediatrics
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 335-0200
HEATHER MARIE BARR
Pediatrics
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 335-0200
JORGE R MAZLUMIAN M.D.
Pediatrics
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 335-0200
MARY M MAILANDER M.D.
Pediatrics
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 335-0200
DR. PRAFUL C SHAH M.D.
Pediatrics
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 792-7309
MS. NICOLE MICHELLE ANTONIO M.D.
Pediatrics
1690 BARTON RD STE 104
REDLANDS, CA 92373
San Bernardino County (909) 335-0200

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 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..

Where is Elizabeth Gendy-shaker located?

Elizabeth Gendy-shaker practices at 1690 Barton Rd Ste 104, Redlands, CA 92373. The listed phone number is (909) 795-4747.

What is Elizabeth Gendy-shaker's specialty?

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

Is Elizabeth Gendy-shaker enrolled in Medicare?

Yes. Elizabeth Gendy-shaker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Gendy-shaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gendy-shaker reassigns Medicare benefits to 2 organizations: Beaver Medical Group P C (Redlands, CA) and Healthcare Partners Affiliates Medical Group (Tustin, 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 Elizabeth Gendy-shaker'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 Elizabeth Gendy-shaker was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.