Active NPI
Robin Shah, D.O. MBA
- Nephrology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 34.011162
- Practice address
- 929 Jasonway Ave
Columbus, OH 43214-2464 - Phone
- (614) 538-2250
- NPI assigned
- Apr 4, 2012
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 34.011162 | OH | Primary |
Addresses
Primary practice location
929 Jasonway Ave
Columbus, OH 43214-2464
Mailing address
929 Jasonway Ave
Columbus, OH 43214-2464
Phone (614) 538-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164416 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Kansas City University of Physicians and Surgeons, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
929 Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 538-2250
Hospital & facility affiliations
- DaVita Canal Winchester Dialysis
- Riverside Methodist Hospital
- Grant Medical Center
- Dublin Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Nephrology Associates, Inc. | Current | Accepting new patients | |
| Vacco LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Current | Accepting new patients | |
| Dca of Delaware County LLC | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
543 Taylor Ave
Columbus, OH 43203
Phone (614) 685-3333
285 E State St
Ste 260
Columbus, OH 43215
Phone (614) 566-9035
929 Jasonway Ave
Columbus, OH 43214
Phone (614) 538-2256
815 W Broad St
Ste 320
Columbus, OH 43222
Phone (614) 221-0222
1788 Columbus Pike
Delaware, OH 43015
Phone (740) 369-4870
1221 Delaware Ave
Marion, OH 43302
Phone (740) 375-0849
1485 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 392-3436
Interoperability endpoints
- rshah30165@direct.acumenmd.com
- rshah118878@direct.osumc.edu
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Specialist
- Columbus, OH
- NPI 1780676585
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Ambulatory Surgical Clinic/Center
- Columbus, OH
- NPI 1578088787
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Delaware, OH
- NPI 1992999312
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canal Winchester, OH
- NPI 1548698764
Dialysis facility
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1720344633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 JASONWAY AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142464",
"telephone_number": "614-538-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 JASONWAY AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142464",
"telephone_number": "614-538-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ROBIN",
"name_prefix": "Mr.",
"credential": "D.O. MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "34.011162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164416",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.