Manan Udayan Shah, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

DR.0062667 Issued in CO

Practice address

255 Union Blvd Ste 220
Lakewood, CO 80228-1833

Phone

(303) 238-1366

Fax

(303) 238-0038

NPI assigned

Jun 18, 2013

Last updated

Nov 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Otolaryngology

Education

University of Maryland School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erik W. Kreutzer, M.D., P.C., Dba Colorado Ear, Nose and Throat GroupGroup PAC ID 2264322478, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erik W. Kreutzer, M.D., P.C., Dba Colorado Ear, Nose & Throat Group

  • Otolaryngology Physician
  • Lakewood, CO
  • NPI 1346411410
  Medicare reassignment Care Compare group NPD
• Advanced Ear, Nose & Throat, PC

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1710065446
  Medicare reassignment NPD
• Audiology Services & Hearing AIDS Inc

  • Audiologist-Hearing Aid Fitter
  • Lakewood, CO
  • NPI 1124492392
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1679912067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 220",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "303-238-1366",
            "fax_number": "303-238-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 220",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "303-238-1366",
            "fax_number": "303-238-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Mitchellville Rd Ste A414",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163142",
            "country_code": "US",
            "telephone_number": "301-860-0985",
            "fax_number": "301-860-0978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321956",
            "country_code": "US",
            "telephone_number": "860-697-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANAN",
        "middle_name": "UDAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D84772",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0062667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Seyrek, DPT
• Sara Z Shabany, DNP, RN
• Lindsey Shackelford
• Tabitha Kay Shackleton
• Zoe E Shadowen
• Rachael Shaheen, OMT
• Laura Carson Shain, LPC, MA, LAC, SOMB
• Heather Matheson Shanahan, M.S.P.T.
• Tyson Lee Shanholtzer
• Jennifer Rose Shanley

• Otolaryngology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.
• 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.

Verify at the official NPI Registry.