Shahab S. Minassian, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

MD025615E Issued in PA

Practice address

301 S 7TH Ave
Suite 245
West Reading, PA 19611-1410

Phone

(610) 374-2214

Fax

(610) 685-5852

NPI assigned

Apr 18, 2006

Sex

Male

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 PA

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

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 and National Provider Directory roles.

• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Tower Health Medical Group

  • Family Medicine Physician
  • Wyomissing, PA
  • NPI 1487079141
  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Main Line Fertility Clinic PC

  • Reproductive Endocrinology Physician
  • Bryn Mawr, PA
  • NPI 1932834082
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1770548299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "SUITE 245",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-374-2214",
            "fax_number": "610-685-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "SUITE 245",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-374-2214",
            "fax_number": "610-685-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASSIAN",
        "first_name": "SHAHAB",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD025615E",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD025615E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001032180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodylynn Mill, C.R.N.P.
• Cheryl Lynn Miller, D.D.S.
• Kelsey Lynn Miller, MSN, RN, AGCNS-BC
• Nicole F Miller, CRNP
• Stephanie Miller, CRNP
• Keith Alan Minnich, MD
• Ghazi Asfand Yar Khan Mirrani, M.D.
• Kara Coval Mischler, M.D.
• Shannon Ryan Misiaszek, DO
• Courtney Mitchell

• Reproductive Endocrinology Physician in West Reading, PA
• Providers in West Reading, PA by specialty
• Reproductive Endocrinology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.