Chandrakant S Shah, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35-047623 Issued in OH

Practice address

6847 N Chestnut St
Ravenna, OH 44266-3929

Phone

(330) 297-0811

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North East Ohio Group Practice LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1063575462
  Medicare reassignment NPD
• Robinson Health System, Inc.

  • Cardiovascular Disease Physician
  • Ravenna, OH
  • NPI 1083045504
  Medicare reassignment
• Lake Hospital System

  • Obstetrics & Gynecology Physician
  • Willoughby, OH
  • NPI 1346202512
  NPD (past)
• Lake Hospital System Inc

  • Physician Assistant
  • Concord TWP, OH
  • NPI 1851698435
  NPD (past)
• Lake Hospital System Inc.

  • Adult Health Nurse Practitioner
  • Concord TWP, OH
  • NPI 1043275837
  NPD (past)
• Rajesh Saraiya MD PC Inc

  • Internal Medicine Physician
  • Twinsburg, OH
  • NPI 1144342551
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1073585683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30716",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441300716",
            "telephone_number": "440-879-0081",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-297-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHANDRAKANT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-047623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0563877",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000142791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dierre Juan Lamonte Senter Jr.
• Glady Sepulveda
• Leah Dewan Sewell
• Samantha Jane Sexton
• Ellen Shafer
• Ghada M Shahrour, RN
• Stacie Ann Shalenberger, PHARMD
• Aryeh Shapiro, MD
• Brett Sharpe, PHARMD
• Baleigh Shaver

• Surgery Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.