MRS. SHIRA KHOSHKERMAN (PA-C) – Medical Physician Assistant, NPI 1063923738

MRS. SHIRA KHOSHKERMAN (PA-C) is a healthcare provider. based in Encino, California. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. C0006666 (MD). The NPI Number for MRS. SHIRA KHOSHKERMAN (PA-C) is 1063923738

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHIRA KHOSHKERMAN (PA-C)
NPI
1063923738
Phone
(818) 905-8815
Address
17200 VENTURA BLVD STE 302
Enumeration Date
20 October 2017
Last Update Date
31 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
6507122207
Group Practice PAC ID
6204739352
Professional Enrollment ID
I20171114000436
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for MRS. SHIRA KHOSHKERMAN (PA-C)

  • 17200 VENTURA BLVD STE 302

    ENCINO, CA 913165008

    Phone: (818) 905-8815

    Type: Location

  • 5401 Old Court Rd

    Randallstown, MD 211335103

    Phone: (410) 521-2200

    Type: Location

  • 2404, Smith Avenue, Pickwick, Towson, Baltimore County, Maryland, 21209, United States

    BALTIMORE, MD 212092654

    Phone: (410) 370-1718

    Type: Mailing

  • Northwest Hospital, 5401, Old Court Road, Garden View Apartments, Randallstown, Baltimore County, Maryland, 21133, United States

    RANDALLSTOWN, MD 211335103

    Phone: (410) 521-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $718.

Total Amount is formed as General ($718) + Research ($0) + Ownership ($0) = $718.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($546).

Total Amount

$718

General + Research + Ownership

Payments

26

Total payment records

General Amount

$718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91316)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204739352View full group profile
NameSpecialtyState
Physician AssistantMD
Physician AssistantMD
Physician AssistantMD
Physician AssistantMD
Internal MedicineMD
G A S T R O E N T E R O L O G YCA
Cardiovascular Disease (Cardiology), Internal MedicineMD
H O S P I T A L I S TNY
Physician AssistantMD
H O S P I T A L I S TTX

Reviews

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Frequently asked questions

How is MRS. SHIRA KHOSHKERMAN (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. SHIRA KHOSHKERMAN (PA-C) with NPI 1063923738.
Is MRS. SHIRA KHOSHKERMAN (PA-C) listed as active for patients and plans?
The listing shows MRS. SHIRA KHOSHKERMAN (PA-C) as active in the NPI system.
What healthcare role does MRS. SHIRA KHOSHKERMAN (PA-C) hold?
Scheduling teams often label MRS. SHIRA KHOSHKERMAN (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. SHIRA KHOSHKERMAN (PA-C)?
MRS. SHIRA KHOSHKERMAN (PA-C)'s geographic hint is Encino, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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