Individual provider Active NPI

Shadrie Munir Sahaag, FNP-C

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1194468892
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03220727 Issued in OH
Practice address
6100 E Main St Ste 110
Columbus, OH 43213-3399
Phone
(614) 697-1135
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03220727 OH Primary

Addresses

Primary practice location

6100 E Main St Ste 110
Columbus, OH 43213-3399

Mailing address

6100 E Main St Ste 110
Columbus, OH 43213-3399
Phone (614) 697-1135

Other practice location 1

500 E Main St Ste 105
Columbus, OH 43215-5619
Phone (614) 636-5017

Other practice location 2

5049 Crookshank Rd
Cincinnati, OH 45238-3399
Phone (614) 636-5017

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629003625 OH Practitioner - Nurse Practitioner 8325428816 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03220727OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, LLC CurrentSince Apr 1, 2023 Accepting new patients
Firsthand Health of Ohio CurrentSince Jan 1, 2026 Accepting new patients
Intervalmed Cardiology LLC PastSince Dec 1, 2023 Accepting new patients

Locations

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

3433 Agler Rd
Ste 2000B
Columbus, OH 43219
Phone (614) 269-3193

6100 E Main St
Ste 110
Columbus, OH 43213
Phone (614) 755-7700

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

13201 Granger Rd
Ste 2
Garfield Hts, OH 44125
Phone (216) 316-4059

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19506/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shadrie.sahaag.1@27775.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1194468892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 E MAIN ST STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133399",
            "telephone_number": "614-697-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 E MAIN ST STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133399",
            "telephone_number": "614-697-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155619",
            "country_code": "US",
            "telephone_number": "614-636-5017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5049 Crookshank Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452383399",
            "country_code": "US",
            "telephone_number": "614-636-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHAAG",
        "first_name": "SHADRIE",
        "middle_name": "MUNIR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F03220727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.