Active NPI
Prem Singh Shekhawat, MD
- Neonatal-Perinatal Medicine Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 35.091498
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000904505A | Medicaid | GA | |
| 5919280 | Medicaid | NC | |
| 167GF | Other | NC | BCBSNC |
| G50059 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050059 | GA | MD | Neonatal-Perinatal Medicine Physician |
| 35.091498 | OH | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Ohio Group Practice LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Metrohealth System | Current | 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
- 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.
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1063575462
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Rural Acute Care Hospital
- Dover, OH
- NPI 1871606921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.