Individual provider Active NPI

Shahul Hameed Valavoor, M.D.

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1306148648
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.144454 Issued in OH
Practice address
2123 Auburn Ave Ste 404
Cincinnati, OH 45219-2906
Phone
(513) 241-5630
Fax
(513) 241-7146
NPI assigned
Nov 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 MD42425 IA
Nephrology Physician 207RN0300X 35.144454 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 404
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave Ste 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

Other identifiers 1

IdentifierTypeStateIssuer
0225588MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220816001874 KY Practitioner - NephrologyPractitioner - Internal Medicine 7810123031 Reassigns benefits to 1 organization
I20221007000965 OH Practitioner - NephrologyPractitioner - Internal Medicine 7810123031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

  • DaVita Delhi Dialysis Dialysis facility, Cincinnati, OH, CCN 362708
  • DaVita Winton Road Dialysis Dialysis facility, Cincinnati, OH, CCN 362611
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD42425IAMDInternal Medicine Physician
35.144454OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Jun 1, 2022 Accepting new patients
River Valley Dialysis LLC PastSince Aug 13, 2024 Accepting new patients
Tristate Arthritis & Rheumatology PSC Past Accepting new patients

Locations

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

4805 Montgomery Rd
Ste 156
Cincinnati, OH 45212
Phone (513) 861-0800

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

3301 Mercy Health Blvd
Ste 365
Cincinnati, OH 45211
Phone (513) 758-1170

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

Interoperability endpoints

  • Direct secure messaging: svalavoor375336@direct-prd.stelizabeth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: svalavoor422509@direct.uchealth.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.

Hospital & facility affiliations 8

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1306148648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 404",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5630",
            "fax_number": "513-241-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 404",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5630",
            "fax_number": "513-241-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAVOOR",
        "first_name": "SHAHUL",
        "middle_name": "HAMEED",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD42425",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.144454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.