Jack Shenouda MD Corp
NPI 1962987222 · Internal Medicine Physician · Thousand Oaks, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Shenouda MD Corp is a Internal Medicine Physician organization in Thousand Oaks, CA (NPI 1962987222).
Provider details
- NPI number
- 1962987222
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Shenouda, Ceo(717) 557-3938
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-02
- Last updated
- 2018-10-02
Frequently asked questions
- What is Jack Shenouda MD Corp's NPI number?
- Jack Shenouda MD Corp's National Provider Identifier (NPI) is 1962987222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Shenouda MD Corp?
- Jack Shenouda MD Corp is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Shenouda MD Corp located?
- Jack Shenouda MD Corp's practice location on file with NPPES is 1016 Cactus Ct, Thousand Oaks, CA 91320-5907.
- What is Jack Shenouda MD Corp's phone number?
- The practice phone number listed in the NPPES registry for Jack Shenouda MD Corp is (717) 557-3938.
- Does Jack Shenouda MD Corp accept Medicare?
- Jack Shenouda MD Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack Shenouda MD Corp?
- The authorized official listed on Jack Shenouda MD Corp's NPPES record is Jack Shenouda, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Shenouda MD Corp's NPI active?
- Yes — Jack Shenouda MD Corp's NPI (1962987222) is active in the NPPES registry as of the last update on 2018-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.