Individual provider Active NPI

Haroon Shah, D.O.

  • Infectious Disease Physician
  • Toledo, OH
National Provider Identifier
1770962136
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
34.014429 Issued in OH
Practice address
3125 Transverse Dr
Toledo, OH 43614-8008
Phone
(419) 383-6843
Fax
(419) 383-3338
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 34.014429 OH Primary

Addresses

Primary practice location

3125 Transverse Dr
Toledo, OH 43614-8008

Mailing address

4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 383-6843

Other practice location 1

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-6235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200814002782 OH Practitioner - Infectious Disease 3971812629 Reassigns benefits to 2 organizations
I20251205001651 IL Practitioner - Infectious Disease 3971812629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-5000

610 S Maple Ave
Suite 5500
Oak Park, IL 60304-2808
Phone (708) 660-5777

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 29, 2022 Accepting new patients
University of Toledo Physicians LLC CurrentSince Jul 14, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Jan 29, 2022 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Rush University Medical Group CurrentSince Nov 21, 2025 Accepting new patients
Rush University Medical Center CurrentSince Nov 21, 2025 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

L4189
Columbus, OH 43260

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3125 Transverse Dr
Toledo, OH 43614
Phone (419) 383-3771

2100 W Central Ave
Fl 2
Toledo, OH 43606
Phone (567) 420-1600

Interoperability endpoints

  • Direct secure messaging: hshah24850@direct.utoledo.edu

Organizations & group practices 6

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 6

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1770962136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DORR ST # MS 840",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040",
            "telephone_number": "419-383-6843",
            "fax_number": "419-383-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-6843",
            "fax_number": "419-383-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-363-6235",
            "fax_number": "330-588-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HAROON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "34.014429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.