Active NPI
Shashi M Vora, MD
- Internal Medicine Physician
- Cambridge, OH
National Provider Identifier
1689776056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.044851
- Practice address
- 1515 Maple Dr
Cambridge, OH 43725-1162 - Phone
- (740) 439-3515
- Fax
- (740) 432-6427
- NPI assigned
- Sep 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.044851 | OH | Primary |
Addresses
Primary practice location
1515 Maple Dr
Cambridge, OH 43725-1162
Mailing address
1515 Maple Dr
Cambridge, OH 43725-1162
Phone (740) 439-3515
Other practice location 1
1452 Clark St
Cambridge, OH 43725
Phone (740) 439-1356
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0492932 | Other | OH | MEDICARE |
| 9168571 | Other | OH | MEDICARE PTAN |
| 0428228 | Other | OH | MEDICAID |
| D31225 | Other | OH | MEDICARE UPIN |
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 |
|---|---|---|---|---|
| I20100630000006 | OH | Practitioner - Internal Medicine | 5395876627 | Practice locations: Cambridge, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.044851 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1689776056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MAPLE DR",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437251162",
"telephone_number": "740-439-3515",
"fax_number": "740-432-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MAPLE DR",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437251162",
"telephone_number": "740-439-3515",
"fax_number": "740-432-6427"
}
],
"practiceLocations": [
{
"address_1": "1452 Clark St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "OH",
"postal_code": "43725",
"country_code": "US",
"telephone_number": "740-439-1356",
"fax_number": "740-432-7488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VORA",
"first_name": "SHASHI",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.044851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0492932",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "9168571",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "0428228",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "D31225",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.