Active NPI
Shine Elizabeth Vazhappilly, M.D.
- Rheumatology Physician
- Crestview Hills, KY
National Provider Identifier
1790351781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 62310
- Practice address
- 651 Centre View Boulevard
Crestview Hills, KY 41017-5423 - Phone
- (859) 344-1900
- Fax
- (859) 344-4632
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 62310 | KY | Primary |
Addresses
Primary practice location
651 Centre View Boulevard
Crestview Hills, KY 41017-5423
Mailing address
P.O. Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20240906002245 | FL | Order and Referring Only - Rheumatology | 2769922624 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- svazhappilly1249512@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1790351781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 CENTRE VIEW BOULEVARD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410175423",
"telephone_number": "859-344-1900",
"fax_number": "859-344-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZHAPPILLY",
"first_name": "SHINE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "KY",
"license": "62310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.