Individual provider Active NPI

Naila Shahid, M.D

  • Internal Medicine Physician
  • Hamilton, OH
National Provider Identifier
1275898694
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.126740 Issued in OH
Practice address
150 High St.
Suite C300
Hamilton, OH 45011-2725
Phone
(513) 896-3000
Fax
(513) 737-0524
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.126740 OH Primary
Internal Medicine Physician 207R00000X MT202548 PA

Addresses

Primary practice location

150 High St.
Suite C300
Hamilton, OH 45011-2725

Mailing address

5971 Golf Club LN
Fairfield Township, OH 45011-8225
Phone (513) 896-3000

Other identifiers 1

IdentifierTypeStateIssuer
0137589MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address nshahid565010@direct.ketteringhealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814014799 OH Practitioner - Internal Medicine 0042432379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

5971 Golf Club LN
Fairfield Township, OH 45011-8225
Phone (513) 896-3000

Hospital & facility affiliations

  • Bridges Rehab at Home Home health agency, Mason, OH, CCN 368232
  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT202548PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine Past Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

5964 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 425-7135

5971 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 785-4304

150 High St
Ste C300
Hamilton, OH 45011
Phone (513) 896-3000

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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 2

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1275898694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 GOLF CLUB LN",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118225",
            "telephone_number": "513-896-3000",
            "fax_number": "513-737-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HIGH ST.",
            "address_2": "SUITE C300",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112725",
            "telephone_number": "513-896-3000",
            "fax_number": "513-737-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "NAILA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.126740",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT202548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137589",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5971 Golf Club Ln",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshahid565010@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "5971 Golf Club Ln",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.