Individual provider Active NPI

Yuval Shafrir, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lebanon, NH
National Provider Identifier
1649247321
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
LT4172 Issued in NH
Practice address
1 Medical Center Dr Ste 32
Lebanon, NH 03756-1000
Phone
(603) 650-5104
Fax
(603) 653-9199
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X LT4172 NH Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2026003456 MO
Specialist 174400000X D47089 MD
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 04-52300 KS

Addresses

Primary practice location

1 Medical Center Dr Ste 32
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5104

Other practice location 1

2222 Cherry St
Toledo, OH 43608-2673
Phone (419) 251-8035

Other practice location 2

225 Smith Ave N Ste 201
Saint Paul, MN 55102-2697
Phone (651) 241-5321

Other practice location 3

4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537
Phone (419) 251-8035

Other practice location 4

1103 Village Square Dr Ste 202
Perrysburg, OH 43551-1762
Phone (419) 251-8035

Other practice location 5

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

Other identifiers 1

IdentifierTypeStateIssuer
356641201MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL, SD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20231128002465 IL Practitioner - Neurology 7012967409 Reassigns benefits to 1 organization
I20240711003248 AL Practitioner - Neurology 7012967409 Reassigns benefits to 1 organization
I20250817000029 SD Practitioner - Pediatric Medicine 7012967409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Sioux Falls, SD 57118-6370

PO Box
Suite 86370
Sioux Falls, SD 57118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-52300KSMDNeurology with Special Qualifications in Child Neurology Physician
2026003456MOMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Nov 3, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 28, 2025 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Nov 3, 2023 Accepting new patients
Avera McKennan CurrentSince May 23, 2025 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince May 6, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 28, 2025 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince May 6, 2024 Accepting new patients
Avera McKennan CurrentSince May 23, 2025 Accepting new patients
The Nemours Foundation Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

7694 Solutions Ctr
Chicago, IL 60677

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: yuval.shafrir@avera.sdhealthlink.net
  • Direct secure messaging: yshafrir53771@direct.hopkinsmedicine.org

Organizations & group practices 12

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1649247321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-5104",
            "fax_number": "603-653-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR STE 32",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5104",
            "fax_number": "603-653-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082673",
            "country_code": "US",
            "telephone_number": "419-251-8035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Smith Ave N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022697",
            "country_code": "US",
            "telephone_number": "651-241-5321",
            "fax_number": "651-241-5248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4126 N Holland Sylvania Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233537",
            "country_code": "US",
            "telephone_number": "419-251-8035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Village Square Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435511762",
            "country_code": "US",
            "telephone_number": "419-251-8035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-234-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFRIR",
        "first_name": "YUVAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NH",
            "license": "LT4172",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MO",
            "license": "2026003456",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D47089",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KS",
            "license": "04-52300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356641201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.