Leonard H Shaker, M.D

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

70483 Issued in MA

Practice address

100 Wason Avenue
Suite 120
Springfield, MA 01107-1119

Phone

(413) 241-2100

Fax

(413) 735-1986

NPI assigned

May 1, 2006

Last updated

Jun 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60885

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pioneer Valley Urology, PC

  • Urology Physician
  • Springfield, MA
  • NPI 1750315982
  Medicare reassignment NPD
• Greater Springfield Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Springfield, MA
  • NPI 1902039936
  NPD (past)
• Radiology & Imaging Inc

  • Diagnostic Radiology Physician
  • Springfield, MA
  • NPI 1790731008
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1437117496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVENUE",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071119",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVENUE",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071119",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKER",
        "first_name": "LEONARD",
        "middle_name": "H",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "70483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J08438",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049035",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nickul Shah
• Sharmila Shahani-Sewrathan, RD
• Uzma Shahbaz, BDS
• Wasamah Shaikh, MD
• Monica Allyson Shaird
• Wendy Shakoor, B.A.
• Shamim a Najeebi,M.D.,P.C.
• Abigail Lynn Shannon
• Brendette Denise Shannon, COUNSELOR
• Benjamin Goodman Shapiro, DO

• Urology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.