Individual provider Active NPI

Ali Shadchehr

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1740455591
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35061167 Issued in OH
Practice address
5170 Hampton LN
Columbus, OH 43220-6112
Phone
(614) 457-5306
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35061167 OH Primary

Addresses

Primary practice location

5170 Hampton LN
Columbus, OH 43220-6112

Mailing address

5170 Hampton LN
Columbus, OH 43220-6112
Phone (614) 457-5306

Other names 1

  • Dr. Ali Shadchehr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35061167OHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1740455591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 HAMPTON LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432206112",
            "telephone_number": "614-457-5306",
            "fax_number": "614-457-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 HAMPTON LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432206112",
            "telephone_number": "614-457-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADCHEHR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35061167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "SHADCHEHR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.