Active NPI
Momin Shah, M.D.
- Student in an Organized Health Care Education/Training Program
- Toledo, OH
National Provider Identifier
1629715941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Toledo Hospital
2142 North Cove Boulevard
Toledo, OH 43606 - Phone
- (567) 420-1613
- NPI assigned
- May 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Toledo Hospital
2142 North Cove Boulevard
Toledo, OH 43606
Mailing address
The University of Toledo College of Medicine and Life S
2100 W. Central Ave
Toledo, OH 43614
Phone (567) 420-1613
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220906003212 | OH | Order and Referring Only - Internal Medicine | 9931583242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1629715941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE S",
"address_2": "2100 W. CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "567-420-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TOLEDO HOSPITAL",
"address_2": "2142 NORTH COVE BOULEVARD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43606",
"telephone_number": "567-420-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MOMIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.