Individual provider Active NPI

Shashi M Vora, MD

  • Internal Medicine Physician
  • Cambridge, OH
National Provider Identifier
1689776056
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.044851 Issued in OH
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

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0492932OtherOHMEDICARE
9168571OtherOHMEDICARE PTAN
0428228OtherOHMEDICAID
D31225OtherOHMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000006 OH Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5395876627 Practice locations: Cambridge, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.044851OHMDInternal 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

Verify at the official NPI Registry.