Individual provider Active NPI

Robin Shah, D.O. MBA

  • Nephrology Physician
  • Columbus, OH
National Provider Identifier
1720344633
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.011162 Issued in OH
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

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0164416MedicaidOH

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
I20160404001326 OH Practitioner - NephrologyPractitioner - Internal Medicine 4183927619 Reassigns benefits to 3 organizations

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
Riverside Nephrology Associates IncGroup PAC ID 8022058585, 22 clinicians

Practice addresses (Care Compare)

929 Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 538-2250

Hospital & facility affiliations

  • DaVita Canal Winchester Dialysis Dialysis facility, Canal Winchester, OH, CCN 362815
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Nephrology Associates, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Vacco LLC CurrentSince Mar 25, 2021 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Mar 15, 2016 Accepting new patients
Dca of Delaware County LLC PastSince Jul 1, 2019 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

  • Direct secure messaging: rshah30165@direct.acumenmd.com
  • Direct secure messaging: rshah118878@direct.osumc.edu
  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.