Active NPI
Shehzad Jinnah, MD
- Internal Medicine Physician
- Eugene, OR
National Provider Identifier
1396734042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 97-276
- Practice address
- 1488 Oak St
Eugene, OR 97401-4043 - Phone
- (541) 431-9500
- Fax
- (541) 431-9500
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 97-276 | NM | Primary |
Addresses
Primary practice location
1488 Oak St
Eugene, OR 97401-4043
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q8513 | Medicaid | NM | |
| NM014438 | Other | NM | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97-276 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Internal Medicine | Past | Accepting new patients |
| Covenant Medical Group | Past | Accepting new patients | |
| Roswell Hospital Corporation | Internal Medicine | Past | Accepting new patients |
| Covenant Medical Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1396734042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 COMMERCE WAY",
"address_2": "SUITE 180",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272829",
"telephone_number": "615-465-7000",
"fax_number": "615-309-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 OAK ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014043",
"telephone_number": "541-431-9500",
"fax_number": "541-431-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JINNAH",
"first_name": "SHEHZAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "97-276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q8513",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM014438",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.