Shahanawaz Jiwani, M.D., PHD

Primary specialty

Molecular Genetic Pathology (Medical Genetics) PhysicianTaxonomy code 207SM0001X

License

D0085605 Issued in MD

Practice address

459 Miller Drive
Room 109
Frederick, MD 21702

Phone

(301) 846-7689

NPI assigned

Apr 1, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjiwani1095947@direct.umm.edu

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.

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• Univ of MD Pathology Associates P a

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• University of Maryland Oncology Associates, PA

  • Hematology & Oncology Physician
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• University of Maryland Oncology Associates, PA

  • Hematology & Oncology Physician
  • Baltimore, MD
  • NPI 1942154877
  NPD

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1548503238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILLARD PL UNIT B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021212",
            "telephone_number": "240-409-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 MILLER DRIVE",
            "address_2": "ROOM 109",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-846-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "407-731-6205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIWANI",
        "first_name": "SHAHANAWAZ",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SM0001X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "MD",
            "license": "D0085605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Davis, LLC
• Alexa Jo Jessop, LMSW
• Jewel Healthcare Services Inc.
• Jim Rose, LCPC, LLC
• Karla Jimenez
• Kendall Noelle Jo, OTR/L
• Joanna Elizabeth Jobin, M.S.
• Mikschal Johanison, LAC
• John L Krumpotich DDS Fagd PA
• Jennifer John, D.D.S

• Molecular Genetic Pathology (Medical Genetics) Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Molecular Genetic Pathology (Medical Genetics) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.