Individual provider Active NPI

Susan R Shah, M.D.

  • Pediatrics Physician
  • Twinsburg, OH
National Provider Identifier
1306900568
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-066205 Issued in OH
Practice address
8054 Darrow Rd Ste 4
Twinsburg, OH 44087-2381
Phone
(330) 425-3344
Fax
(330) 425-8847
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-066205 OH Primary

Addresses

Primary practice location

8054 Darrow Rd Ste 4
Twinsburg, OH 44087-2381

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 376-3332

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sshah13011@direct.chmca.org
Direct Messaging Address sshah@akronchildrens.org
Direct Messaging Address sshah13011@direct.chmca.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-066205OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron PastSince Feb 21, 2021 Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics PastSince Feb 21, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1306900568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-376-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8054 DARROW RD STE 4",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872381",
            "telephone_number": "330-425-3344",
            "fax_number": "330-425-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-066205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshah13011@direct.chmca.org",
            "affiliation": "N",
            "address_1": "8054 Darrow Rd Ste 4",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440872381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshah@akronchildrens.org",
            "affiliation": "N",
            "address_1": "8054 Darrow Rd",
            "address_2": "Bldg D, Ste 3",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440872381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshah13011@direct.chmca.org",
            "affiliation": "N",
            "address_1": "8054 Darrow Rd Ste 4",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440872381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.