NPIMap

Individual provider Active NPI

Shahzad Safdar, M.D.

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1265432975
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35074422 Issued in OH
Practice address
8251 Pine Road
Suite 212
Cincinnati, OH 45236
Phone
(513) 841-0222
Fax
(513) 841-0638
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35074422 OH Primary

Addresses

Primary practice location

8251 Pine Road
Suite 212
Cincinnati, OH 45236

Mailing address

8251 Pine Road
Suite 212
Cincinnati, OH 45236
Phone (513) 841-0222

Other identifiers 2

IdentifierTypeStateIssuer
2064484MedicaidOH
000000017955OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001444 OH Practitioner - Nephrology 2668386970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt. Auburn Nephrology Inc.Group PAC ID 6901894229, 13 clinicians

Practice addresses (Care Compare)

8260 Pine Rd
Cincinnati, OH 45236-1900
Phone (513) 841-0222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074422OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Auburn Nephrology, Inc. Nephrology CurrentSince Jul 1, 1998 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8260 Pine Rd
Cincinnati, OH 45236

6725 Miami Ave
Cincinnati, OH 45243
Phone (513) 271-2299

2123 Auburn Ave
Cincinnati, OH 45219
Phone (513) 721-7373

8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120

Interoperability endpoints

  • Direct secure messaging: ssafdar26502@direct.uchealth.com

Organizations & group practices 2

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 11

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1265432975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 PINE ROAD",
            "address_2": "SUITE 212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45236",
            "telephone_number": "513-841-0222",
            "fax_number": "513-841-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 PINE ROAD",
            "address_2": "SUITE 212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45236",
            "telephone_number": "513-841-0222",
            "fax_number": "513-841-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDAR",
        "first_name": "SHAHZAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35074422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064484",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000017955",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.