Individual provider Active NPI

Huma Shuja, M.D.

  • Pediatrics Physician
  • Orefield, PA
National Provider Identifier
1073956611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD445951 Issued in PA
Practice address
5300 Kidspeace Dr
Orefield, PA 18069-2044
Phone
(610) 799-8853
Fax
(610) 799-8001
NPI assigned
Apr 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD445951 PA Primary

Addresses

Primary practice location

5300 Kidspeace Dr
Orefield, PA 18069-2044

Mailing address

5300 Kidspeace Dr
Orefield, PA 18069-2044
Phone (610) 799-8853

Other identifiers 1

IdentifierTypeStateIssuer
103067276-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073956611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692044",
            "telephone_number": "610-799-8853",
            "fax_number": "610-799-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692044",
            "telephone_number": "610-799-8853",
            "fax_number": "610-799-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUJA",
        "first_name": "HUMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD445951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103067276-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orefield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.