Active NPI
Kaanan Shah
- Student in an Organized Health Care Education/Training Program
- Cleveland, OH
National Provider Identifier
1770270001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2101 Adelbert Rd
Cleveland, OH 44106-2624 - Phone
- (216) 844-3809
- Fax
- (216) 844-7166
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2101 Adelbert Rd
Cleveland, OH 44106-2624
Mailing address
2101 Adelbert Rd
Cleveland, OH 44106-2624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231026000515 | NY | Order and Referring Only - Pediatric Medicine | 0143676262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1770270001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 ADELBERT RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062624",
"fax_number": "216-844-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ADELBERT RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062624",
"telephone_number": "216-844-3809",
"fax_number": "216-844-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KAANAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.