MERCEDEH MODIR SHANECHI – Emergency Medicine Physician, NPI 1275914350

MERCEDEH MODIR SHANECHI is a healthcare provider. based in Marina del rey, California. specializing in EMERGENCY MEDICINE. They hold a License No. 125.066817 (IL). The NPI Number for MERCEDEH MODIR SHANECHI is 1275914350

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MERCEDEH MODIR SHANECHI
NPI
1275914350
Phone
(224) 433-4755
Address
4210 VIA MARINA APT 132
Enumeration Date
15 June 2015
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102577260
Graduation Year
2015 (11 years ago)
PAC ID
4082912381
Group Practice PAC ID
1355302134
Professional Enrollment ID
I20190827001728
Address ID
CA905055102TO2900XBLVD300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for MERCEDEH MODIR SHANECHI

  • 4210 VIA MARINA APT 132

    MARINA DEL REY, CA 902925246

    Phone: (224) 433-4755

    Type: Mailing

  • 12401 WASHINGTON BLVD

    WHITTIER, CA 906021006

    Phone: (562) 698-0811

    Type: Location

  • 1901 W Harrison St

    Chicago, IL 606123714

    Phone: (312) 864-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190827001728IEmergency MedicineCATBD

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 making218216$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only140137$0
99291Critical care, first 30-74 minutes8179$0
99214Established patient office or other outpatient visit, 30-39 minutes3333$0
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 90292)

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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: 1355302134View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCA
-CA
O T O L A R Y N G O L O G YCA
-CA
Diagnostic RadiologyCA
Hospitalist, Internal MedicineCA
Emergency MedicineCA
Family PracticeCA
-TX
Endocrinology, Internal MedicineCA

Reviews

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Frequently asked questions

How is MERCEDEH MODIR SHANECHI identified in CMS data?
CMS-hosted NPPES data lists MERCEDEH MODIR SHANECHI with NPI 1275914350.
Is MERCEDEH MODIR SHANECHI still practicing?
MERCEDEH MODIR SHANECHI is currently listed as active in the public NPI registry.
What is MERCEDEH MODIR SHANECHI's specialty?
The listing groups MERCEDEH MODIR SHANECHI with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MERCEDEH MODIR SHANECHI on a map?
Expect Marina Del Rey, California as a primary anchor for MERCEDEH MODIR SHANECHI unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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