Individual provider Active NPI

Ali Shakir, MD

  • Specialist
  • North Canton, OH
National Provider Identifier
1346244118
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35084486 Issued in OH
Practice address
6651 Frank Ave NW
North Canton, OH 44720
Phone
(330) 498-9865
Fax
(330) 498-9869
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35084486 OH Primary

Addresses

Primary practice location

6651 Frank Ave NW
North Canton, OH 44720

Mailing address

103 5TH St SE
Ste S
Barberton, OH 44203-4260
Phone (330) 753-3232

Other identifiers 1

IdentifierTypeStateIssuer
2493038MedicaidOH

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
I20040629000915 OH Practitioner - Sports MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2961488945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Pain Management, Physical Medicine and Rehabilitation
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Rehab Center II, IncGroup PAC ID 7517931272, 5 clinicians

Practice addresses (Care Compare)

6651 Frank Ave NW
North Canton, OH 44720-8442
Phone (330) 498-9865

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084486OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Spine & Sports Medicine PC Past Accepting new patients
Western Reserve Professional Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ali.shakir@10522.chartlogic.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCFBD/Endpoint/DGCFBD

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 1

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1346244118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 5TH ST SE",
            "address_2": "STE S",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034260",
            "telephone_number": "330-753-3232",
            "fax_number": "330-753-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-498-9865",
            "fax_number": "330-498-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35084486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2493038",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.