Sujata Madhukar Shanbhag, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0065619 Issued in MD

Practice address

10 Center Drive, BLDG 10
Room B1D-416, MSC-1061
Bethesda, MD 20892-1061

Phone

(301) 496-3658

Fax

(301) 896-7521

NPI assigned

Dec 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Saint Louis University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Midwest Diagnostic Cardiology, LLC

  • Cardiovascular Disease Physician
  • Chesterfield, MO
  • NPI 1457467755
  Medicare reassignment

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1598901431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE, BLDG 10",
            "address_2": "ROOM B1D-416, MSC-1061",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921061",
            "telephone_number": "301-496-3658",
            "fax_number": "301-896-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE, BLDG 10",
            "address_2": "ROOM B1D-416, MSC-1061",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921061",
            "telephone_number": "301-496-3658",
            "fax_number": "301-896-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANBHAG",
        "first_name": "SUJATA",
        "middle_name": "MADHUKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0065619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kulsum Shaikh, DO
• Samir Shaikh, MD
• Mohamed K.M. Shakir
• William Shaller, DMD
• Victoria Shampaine, MD
• Alexander Hayden Shane
• Elizabeth Shang, PH.D., R.PH.
• Rachyl Morgan Shanker, MD
• Steven Ralph Shannon, MD
• Amy Sea Shao

• Cardiovascular Disease Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.