Individual provider Active NPI

Prem Singh Shekhawat, MD

  • Neonatal-Perinatal Medicine Physician
  • Greenville, NC
National Provider Identifier
1609987684
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35.091498 Issued in OH
Practice address
600 Moye Blvd
Ecu Physicians Neonatal Children'S Hospital 227
Greenville, NC 27834-4300
Phone
(252) 744-0766
Fax
(252) 744-0392
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 2011-01666 NC
Neonatal-Perinatal Medicine Physician 2080N0001X 050059 GA
Neonatal-Perinatal Medicine Physician 2080N0001X 35.091498 OH Primary

Addresses

Primary practice location

600 Moye Blvd
Ecu Physicians Neonatal Children'S Hospital 227
Greenville, NC 27834-4300

Mailing address

2500 Metrohealth Dr Dept of
Cleveland, OH 44109-1900
Phone (216) 778-8106

Other identifiers 4

IdentifierTypeStateIssuer
000904505AMedicaidGA
5919280MedicaidNC
167GFOtherNCBCBSNC
G50059MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140304000669 OH Practitioner - Pediatric Medicine 6002099355 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050059GAMDNeonatal-Perinatal Medicine Physician
35.091498OHMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Apr 1, 2019 Accepting new patients
The Metrohealth System CurrentSince Feb 12, 2014 Accepting new patients
The Metrohealth System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 14, 2024 Accepting new patients
The Metrohealth System CurrentSince Feb 12, 2014 Accepting new patients
The Union Hospital Association Past Accepting new patients
Cleveland Clinic Mercy Hospital Past Accepting new patients
Akron General Medical Center Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: pshekhawat91903@direct.metrohealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1609987684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR DEPT OF",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-8106",
            "fax_number": "216-778-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "ECU PHYSICIANS NEONATAL CHILDREN'S HOSPITAL 227",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-0766",
            "fax_number": "252-744-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHAWAT",
        "first_name": "PREM",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "2011-01666",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GA",
            "license": "050059",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35.091498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904505A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919280",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "167GF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G50059",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.