ROBERT SHRAKE – Emergency Medicine Physician, NPI 1063971877

ROBERT SHRAKE is a healthcare provider. based in San diego, California. specializing in EMERGENCY MEDICINE. They hold a License No. A178304 (CA). The NPI Number for ROBERT SHRAKE is 1063971877

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT SHRAKE
NPI
1063971877
Phone
(619) 543-6213
Address
200 W ARBOR DR # MC8676
Enumeration Date
19 March 2019
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7753244040
Graduation Year
2019 (7 years ago)
PAC ID
1759761760
Group Practice PAC ID
3577468347
Professional Enrollment ID
I20230810003846
Address ID
NV895021576RE1155XSTXX316
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for ROBERT SHRAKE

  • 200 W ARBOR DR # MC8676

    SAN DIEGO, CA 921031911

    Phone: (619) 543-6213

    Fax: (619) 543-3115

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220708000963IEmergency MedicineCATBD
I20230810003846IEmergency MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6969$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6255$0
99291Critical care, first 30-74 minutes2323$0
99284Emergency department visit with moderate level of medical decision making2222$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

Loading plans...

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: 3577468347View full group profile
NameSpecialtyState
-NV
Emergency MedicineNV
-AZ
Emergency MedicineNV
Emergency MedicineNV
Emergency Medicine, Pediatric MedicineAZ
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineAZ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find ROBERT SHRAKE's NPI?
You can confirm ROBERT SHRAKE with NPI 1063971877; it appears in the national provider directory.
Is ROBERT SHRAKE's NPI currently valid?
The extract we use shows ROBERT SHRAKE as active.
Does ROBERT SHRAKE list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for ROBERT SHRAKE. Clinical services aligned with this taxonomy classification.
Where is ROBERT SHRAKE's primary listing?
We display San Diego, California because that is what the record indicates for ROBERT SHRAKE.
Is ROBERT SHRAKE a real provider?
This page reflects official NPPES data for NPI 1063971877. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

402, West Broadway, Columbia, Banker's Hill, San Diego, San Diego County, California, 92101, United States
NPI: 1013915628

DR. JOHN W LOVE (M.D.)

Emergency Medicine Physician
Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States
NPI: 1093715617

DR. ERIC R LOVELL (M.D.)

Emergency Medicine Physician
Jack in the Box, Encinitas Boulevard, Encinitas, San Diego County, California, 92024, United States
NPI: 1346240967

GEORGE R BAEHR (M.D.)

Emergency Medicine Physician
10790, Rancho Bernardo Road, San Diego County, California, 92127, United States
NPI: 1083615512

MRS. SUSAN ELIZABETH MCKIM (PA-C)

Medical Physician Assistant
10170, Sorrento Valley Road, San Diego, San Diego County, California, 92121, United States
NPI: 1003817578

KHAN G HA (M.D.)

Emergency Medicine Physician
4th Avenue, Otay, Chula Vista, San Diego County, California, 92154, United States
NPI: 1184625212

EMERGENCY CARE DYNAMICS INC

Emergency Medicine Physician
PO BOX 28247
NPI: 1710989793

MARK J TAMSEN (MD)

Emergency Medicine Physician
PO BOX 28247
NPI: 1346241452

DR. JACK J SPRINGER (M.D.)

Emergency Medicine Physician
5841, Stresemann Street, San Diego, San Diego County, California, 92122, United States
NPI: 1104828284