Individual provider Active NPI

Shahila Navayogarajah, MD

  • Internal Medicine Physician
  • Centerville, OH
National Provider Identifier
1013040708
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-083190 Issued in OH
Practice address
7457 Pelbrook Farm Dr
Centerville, OH 45459-5066
Phone
(937) 435-4643
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-083190 OH Primary

Addresses

Primary practice location

7457 Pelbrook Farm Dr
Centerville, OH 45459-5066

Mailing address

7457 Pelbrook Farm Dr
Centerville, OH 45459-5066
Phone (937) 435-4643

Other identifiers 1

IdentifierTypeStateIssuer
2447481MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001244 OH Practitioner - Internal Medicine 9739179599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4433 Feedwire Rd
Centerville, OH 45440-3901
Phone (937) 401-2390

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-083190OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medix Urgent Care and Occupational Health, LLC CurrentSince Mar 10, 2015 Accepting new patients

Locations

4433 Feedwire Rd
Dayton, OH 45440
Phone (937) 401-2390

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFABDA/Endpoint/EFABDA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1013040708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 PELBROOK FARM DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454595066",
            "telephone_number": "937-435-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 PELBROOK FARM DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454595066",
            "telephone_number": "937-435-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAYOGARAJAH",
        "first_name": "SHAHILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-083190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.