SHOTA YAMAMOTO (MD) – Neuroradiology Physician, NPI 1609165356

SHOTA YAMAMOTO (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD462620 (PA). The NPI Number for SHOTA YAMAMOTO (MD) is 1609165356

Main info

Male
15 Years Of Experience
Name
SHOTA YAMAMOTO (MD)
NPI
1609165356
Phone
(215) 707-7237
Address
8835 Germantown Ave
Enumeration Date
4 April 2011
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094686000
Graduation Year
2011 (15 years ago)
PAC ID
6901170067
Group Practice PAC ID
6002703436
Professional Enrollment ID
I20170928000736
Address ID
CA952319693FR500XXRDXX478

Contacts

FHIR Endpoint
https://memorialcare.org/fhir/api/FHIR/R4/
Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:15State licenses:2Other names

2,576 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for SHOTA YAMAMOTO (MD)

  • 8835 Germantown Ave

    Philadelphia, PA 191182718

    Phone: (215) 707-7237

    Fax: (215) 707-9389

    Type: Location

  • 4440 W 95th St

    Oak Lawn, IL 604532600

    Phone: (708) 684-8000

    Fax: (708) 520-1039

    Type: Location

  • 26161 MARGUERITE PKWY STE A

    MISSION VIEJO, CA 926923162

    Phone: (949) 500-6161

    Type: Mailing

  • 3509 N BROAD ST # A

    PHILADELPHIA, PA 191404105

    Phone: (215) 707-9211

    Type: Mailing

  • 13280 EVENING CREEK DR S STE 110

    SAN DIEGO, CA 921284109

    Phone: (858) 546-3800

    Fax: (858) 546-3900

    Type: Location

  • 2801 ATLANTIC AVE

    LONG BEACH, CA 908061701

    Phone: (562) 933-1550

    Fax: (562) 933-8088

    Type: Mailing

  • 1 Capital Way

    Pennington, NJ 085342520

    Phone: (609) 303-4000

    Type: Location

  • 310 Salem Woodstown Rd

    Salem, NJ 080792064

    Phone: (856) 935-1000

    Type: Location

  • 500 Martha Jefferson Dr

    Charlottesville, VA 229114668

    Phone: (434) 654-7000

    Type: Location

  • 4301 W Markham St # 556

    Little Rock, AR 722057101

    Phone: (501) 296-1095

    Fax: (501) 526-5919

    Type: Location

  • 2801 Atlantic Ave

    Long Beach, CA 908061701

    Phone: (562) 933-1550

    Fax: (562) 933-8088

    Type: Location

  • 750 Brunswick Ave

    Trenton, NJ 086384143

    Phone: (609) 394-6000

    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: 2026-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 15 Medicare enrollment records; no due dates published yet.

Enrollment records

15

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
I20170928000736IDiagnostic RadiologyCATBD
I20190701001331IDiagnostic RadiologyHITBD
I20191106001251IDiagnostic RadiologyNJTBD
I20200224002212IDiagnostic RadiologyNVTBD
I20210312000369IDiagnostic RadiologyLATBD
I20210913002980IDiagnostic RadiologyILTBD
I20211005002105IDiagnostic RadiologyINTBD
I20211013002797IDiagnostic RadiologyORTBD
I20230105001938IDiagnostic RadiologyKYTBD
I20230322002397IDiagnostic RadiologyARTBD
I20240911000488IDiagnostic RadiologyTXTBD
I20250410001143IDiagnostic RadiologyPATBD
I20250731000935IDiagnostic RadiologyMSTBD
I20250806003181IDiagnostic RadiologyALTBD
I20260303001300IDiagnostic RadiologyMITBD

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
70450Ct scan head or brain without contrast1,1981,165$0
71045X-ray of chest, 1 view443436$0
72125Ct scan of upper spine without contrast285281$0
70551Mri scan of brain without contrast159158$0
70498Ct scan of blood vessels of neck with contrast144141$0
View full utilization report →

Insurance plans in this area (ZIP 19118)

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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: 6002703436View full group profile
NameSpecialtyState
-CA
Diagnostic Radiology, Interventional RadiologyMA
Diagnostic RadiologyCA
-CA
Orthopedic SurgeryCA
-WV
Diagnostic RadiologyCA
-TX
General SurgeryCA
Interventional Radiology, Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What federal number belongs to SHOTA YAMAMOTO (MD)?
The federal identifier for SHOTA YAMAMOTO (MD) is NPI 1609165356.
Does this profile mean SHOTA YAMAMOTO (MD) is currently active?
Yes — SHOTA YAMAMOTO (MD) appears active in the national provider directory.
Does SHOTA YAMAMOTO (MD) list a primary specialty?
If you are matching referrals, note Neuroradiology Physician for SHOTA YAMAMOTO (MD). Clinical services aligned with this taxonomy classification.
What location shows for SHOTA YAMAMOTO (MD)?
We surface Philadelphia, Pennsylvania for SHOTA YAMAMOTO (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.