Individual provider Active NPI

Shahin Shahnia, M.D.

  • Internal Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1598938946
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54997-20 Issued in WI
Practice address
2809 E Hamilton Ave
Suite 107
Eau Claire, WI 54701-6863
Phone
(715) 834-1555
Fax
(715) 835-0263
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54997-20 WI Primary
Hospitalist Physician 208M00000X 54997-20 WI

Addresses

Primary practice location

2809 E Hamilton Ave
Suite 107
Eau Claire, WI 54701-6863

Mailing address

2809 E. Hamilton Ave
Suite 107
Eau Claire, WI 54707-2275
Phone (715) 834-1555

Other identifiers 1

IdentifierTypeStateIssuer
61113OtherWIDEAN HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220817003791 AZ Practitioner - Internal Medicine 5395920938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Hospital CorporationGroup PAC ID 3274443056, 20 clinicians

Practice addresses (Care Compare)

450 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 586-2261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as group
Quality
27.81
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Benson Hospital Corporation CurrentSince Jul 6, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Jul 6, 2024 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Dec 1, 2021 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Dean Health Systems, Inc, Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 6

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1598938946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 E. HAMILTON AVE",
            "address_2": "SUITE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547072275",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 E HAMILTON AVE",
            "address_2": "SUITE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016863",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHNIA",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "54997-20",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "54997-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "61113",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.