Organization Active NPI

M. V. Shetty M.D., Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1679765127
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
M. V. SHETTY M.D., INC.
Practice address
3317 Glenmore Ave
Cincinnati, OH 45211-6510
Phone
(513) 661-5500
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Roshni Shetty, M.D.NPI 1194728626
Title
Physician
Phone
(513) 661-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3317 Glenmore Ave
Cincinnati, OH 45211-6510

Mailing address

3317 Glenmore Ave
Cincinnati, OH 45211-6510
Phone (513) 661-5500

Other identifiers 2

IdentifierTypeStateIssuer
2252011MedicaidOH
9312701OtherOHMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

3317 Glenmore Ave
Cincinnati, OH 45211
Phone (513) 661-5500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1679765127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 GLENMORE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116510",
            "telephone_number": "513-661-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 GLENMORE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116510",
            "telephone_number": "513-661-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. V. SHETTY M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "ROSHNI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-661-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2252011",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "9312701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.