STANFORD SHU (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1548280340
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,479 NEUROLOGY in CA
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Provider Addresses for STANFORD SHU (M.D.)
54701 FILE NUMBER
LOS ANGELES, CA 900744701
Phone: (909) 558-3111
Type: Mailing
11370, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
STE B-100
LOMA LINDA, CA 923543450
Phone: (909) 558-2848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: UCB, Inc. ($121).
Total Amount
$121
General + Research + Ownership
Payments
4
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $121 |
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: 2008-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081213000234 | I | Neurology | CA | TBD |
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.
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 90074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Critical Care (Intensivists), General Surgery | CA | |
| Surgical Oncology, General Surgery | IL | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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