Shella Farooki, M.D., M.P.H.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD36487 Issued in SC

Practice address

27005 Knickerbocker Rd Ste 100
Bay Village, OH 44140

Phone

(805) 620-2699

Fax

(800) 616-0084

NPI assigned

Jun 15, 2005

Last updated

Feb 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, TX, FL3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment NPD
• Allegiance Imaging and Radiology, LLC

  • Diagnostic Radiology Physician
  • Suwanee, GA
  • NPI 1902346422

  OH

  Medicare reassignment NPD
• Butler Imaging and Interventional Associates LLC

  • Diagnostic Radiology Physician
  • Butler, PA
  • NPI 1659518389

  OH

  Medicare reassignment NPD
• Spectrum Imaging SC

  • Radiology Clinic/Center
  • Chicago, IL
  • NPI 1821482621

  OH

  Medicare reassignment NPD
• Vsi Rad LLC

  • Diagnostic Radiology Physician
  • Hialeah, FL
  • NPI 1154781771
  Medicare reassignment NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment
• Advantage Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Dublin, OH
  • NPI 1538879069
  NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1497287197
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  dba MHPY SPC - SEHC Dental Group

  • Dentist
  • Youngstown, OH
  • NPI 1609544055
  NPD
• Charleston Radiologists PA

  • Diagnostic Radiology Physician
  • Mount Pleasant, SC
  • NPI 1811000177
  NPD
• North Clark Medical Group LLC

  • General Practice Physician
  • Jeffersonville, IN
  • NPI 1376095711

  Diagnostic Radiology

  NPD

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1750386975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 KNICKERBOCKER RD STE 100",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402388",
            "telephone_number": "888-365-5514",
            "fax_number": "800-616-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 KNICKERBOCKER RD STE 100",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "44140",
            "telephone_number": "805-620-2699",
            "fax_number": "800-616-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7303 Coventry Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172134",
            "country_code": "US",
            "telephone_number": "614-746-4588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOKI",
        "first_name": "SHELLA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35078150",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD36487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2196369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayley Christine Dunn
• Bridget Durham, PT, DPT
• Early Intervention Consulting LLC
• Julia Fallon, CCC-SLP
• Family Haven Inc
• Christina Fetcenko, B.S. AND PHARMD
• David J Francati, DDS
• Karen Elizabeth Frombach, O.D.
• Bruce Garba, PT, DPT, CSCS
• Seth Allen Garcia, LICDC-CS

• Diagnostic Radiology Physician in Bay Village, OH
• Providers in Bay Village, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.