Active NPI
Shamsuddin C Pracha, MD
- Hospitalist Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.078920
- Practice address
- 8881 N Main St
Dayton, OH 45415-1333 - Phone
- (937) 832-5292
- Fax
- (937) 832-7505
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.078920 | OH | Primary |
Addresses
Primary practice location
8881 N Main St
Dayton, OH 45415-1333
Mailing address
PO Box 634857
Cincinnati, OH 45263-4857
Phone (937) 832-5292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2600733 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spracha529573@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051109000339 | OH | Practitioner - Hospitalist | 3779525936 | Reassigns benefits to 2 organizations |
| I20180731004199 | OH | Practitioner - Internal Medicine | 3779525936 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kettering Independent Medical Group IncUniversity of Cincinnati Physicians Company LLC
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
600 W Main St
Troy, OH 45373-3384
7750 Discovery Dr
West Chester, OH 45069-2598
Phone (513) 872-7100
Hospital & facility affiliations
- West Chester Hospital
- Kettering Health Main Campus
- University of Cincinnati Medical Center, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Lung and Sleep Medicine Inc | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| Upper Valley Professional Corporation | Hospitalist | Current | Accepting new patients |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Current | Accepting new patients | |
| Conway Springs RHC | Past | Accepting new patients | |
| West Chester Hospital LLC | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600
2115 Leiter Rd
Ste 300
Miamisburg, OH 45342
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
7750 Discovery Dr
West Chester, OH 45069
Phone (513) 298-7325
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
OH
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
OH
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
Hospitalist, OH
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
OH
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1205301256
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
-
- Family Medicine Physician
- Conway Springs, KS
- NPI 1487712170
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1104872779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634857",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452634857",
"telephone_number": "937-832-5292",
"fax_number": "937-832-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151333",
"telephone_number": "937-832-5292",
"fax_number": "937-832-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRACHA",
"first_name": "SHAMSUDDIN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.078920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2600733",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spracha529573@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.