Individual provider Active NPI

Shoaib Shakeel, D.O.

  • Pulmonary Disease Physician
  • Columbus, OH
National Provider Identifier
1790105443
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5051010019 Issued in MI
Practice address
150 Taylor Station Rd Ste 200
Columbus, OH 43213-4470
Phone
(614) 627-1300
Fax
(614) 627-1304
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5051010019 MI Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5051010019 MI

Addresses

Primary practice location

150 Taylor Station Rd Ste 200
Columbus, OH 43213-4470

Mailing address

150 Taylor Station Rd Ste 200
Columbus, OH 43213-4470
Phone (614) 627-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20200701002258 OH Practitioner - Internal Medicine 0042437741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Taylor Station Rd
Suite 200
Columbus, OH 43213-4470
Phone (614) 627-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5051010019MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Jul 1, 2020 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

150 Taylor Station Rd
Ste 200
Columbus, OH 43213
Phone (614) 627-1300

Interoperability endpoints

  • Direct secure messaging: sshakeel553782@direct.hfhs.org

Organizations & group practices 2

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1790105443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134470",
            "telephone_number": "614-627-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134470",
            "telephone_number": "614-627-1300",
            "fax_number": "614-627-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKEEL",
        "first_name": "SHOAIB",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5051010019",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "5051010019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.