Active NPI
Yuval Shafrir, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- LT4172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356641201 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AL, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-52300 | KS | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 2026003456 | MO | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Avera McKennan | Current | 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
- yuval.shafrir@avera.sdhealthlink.net
- 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.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Pediatric Specialists Sioux Falls
- Pediatrics Physician
- Sioux Falls, SD
- NPI 1558337899
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.