Individual provider Active NPI

Agha Shahid, M.D.

  • Psychiatry Physician
  • Oregon, OH
National Provider Identifier
1700896073
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42005 Issued in OH
Practice address
2741 Navarre Ave
Suite D404
Oregon, OH 43616-3278
Phone
(419) 698-2902
Fax
(419) 698-3619
NPI assigned
Aug 9, 2006
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 42005 OH
Psychiatry Physician 2084P0800X 42005 OH Primary
Geriatric Psychiatry Physician 2084P0805X 42005 OH

Addresses

Primary practice location

2741 Navarre Ave
Suite D404
Oregon, OH 43616-3278

Mailing address

2741 Navarre Ave
Suite D404
Oregon, OH 43616-3278
Phone (419) 698-2902

Other identifiers 8

IdentifierTypeStateIssuer
662549OtherOHCIGNA
01375OtherOHPARAMOUNT HEALTH CARE
4212106OtherOHAETNA
791263581AOtherPALMETTO GBA RAILROAD MEDICARE
0410451MedicaidOH
058458000OtherOHMAGELLAN HEALTH CARE
159644OtherOHPREFERRED HEALTH CARE SYS
0131052OtherOHANTHEM

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
I20110919000308 OH Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 0143491472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2741 Navarre Ave
D404
Oregon, OH 43616-3278
Phone (419) 698-2902

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42005OHMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agha Shahid MD Inc Psychiatry CurrentSince Oct 1, 1984 Accepting new patients
The Toledo Hospital Past Accepting new patients
The Toledo Hospital Past Accepting new patients
University of Toledo Physicians LLC Psychiatry Past Accepting new patients

Locations

2741 Navarre Ave
#D404
Oregon, OH 43616
Phone (419) 698-2902

2741 Navarre Ave
Ste D404
Oregon, OH 43616
Phone (419) 698-2902

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1700896073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 NAVARRE AVE",
            "address_2": "SUITE D404",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163278",
            "telephone_number": "419-698-2902",
            "fax_number": "419-698-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 NAVARRE AVE",
            "address_2": "SUITE D404",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163278",
            "telephone_number": "419-698-2902",
            "fax_number": "419-698-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "AGHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "42005",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "42005",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "42005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "662549",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "01375",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4212106",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "791263581A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410451",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH CARE",
            "identifier": "058458000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH CARE SYS",
            "identifier": "159644",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0131052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.