Individual provider Active NPI

Shireesha Carse, MD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1609928415
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036097739 Issued in IL
Practice address
471 E Broad St Ste 1400
Columbus, OH 43215-3806
Phone
(614) 221-9241
NPI assigned
Jan 18, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A70718 CA
Diagnostic Radiology Physician 2085R0202X 036097739 IL Primary

Addresses

Primary practice location

471 E Broad St Ste 1400
Columbus, OH 43215-3806

Mailing address

471 E Broad St Ste 1400
Columbus, OH 43215-3806
Phone (614) 221-9241

Other identifiers 1

IdentifierTypeStateIssuer
00A707180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040122000182 IL Practitioner - Diagnostic Radiology 1557263464 Reassigns benefits to 2 organizations
I20230130001739 OH Practitioner - Diagnostic Radiology 1557263464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

34 Pentwater Dr
South Barrington, IL 60010-9331
Phone (415) 845-0015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70718CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Diagnostic Services Inc CurrentSince Jan 2, 2020 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 9, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 9, 2022 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Medical Diagnostic Services Inc Diagnostic Radiology CurrentSince Jan 2, 2020 Accepting new patients
Magnetic Resonance Imaging Associates of VA, PC Diagnostic Radiology Past Accepting new patients
Computed Tomography Associates, PC Diagnostic Radiology Past Accepting new patients
Aar Woodbridge Imaging Center Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Commonwealth Sleep Center, LLC PastSince Jun 1, 2008 Accepting new patients
Suburban Radiologists, S.C. Diagnostic Radiology PastSince Sep 15, 2019 Accepting new patients

Locations

3701 Jarvis Ave
Skokie, IL 60076
Phone (847) 626-0800

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1609928415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E BROAD ST STE 1400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153806",
            "telephone_number": "614-221-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E BROAD ST STE 1400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153806",
            "telephone_number": "614-221-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSE",
        "first_name": "SHIREESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A70718",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036097739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A707180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.