Individual provider Active NPI

Shashikala Basav Gowda, MD

  • Pediatric Endocrinology Physician
  • Cleveland, OH
National Provider Identifier
1801311956
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
35.154220 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-3661
Fax
(316) 844-8900
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 35.154220 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1171

Other practice location 1

4176 State Route 306 Ste 300
Willoughby, OH 44094-9203
Phone (216) 844-1765

Other practice location 2

960 Clague Rd Ste 1600
Westlake, OH 44145-1586
Phone (216) 844-1765

Other practice location 3

5850 Landerbrook Dr Ste 220
Mayfield Heights, OH 44124-4071
Phone (440) 646-8055

Other names 1

  • Dr. Shashikala Basav Gowda Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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
I20220607001777 MI Practitioner - Pediatric Medicine 1153742572 Reassigns benefits to 1 organization
I20250725000363 OH Practitioner - Pediatric MedicinePractitioner - Endocrinology 1153742572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Endocrinology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 14, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 4, 2022 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 4, 2022 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Multicare Health System Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 252
Grosse Pointe, MI 48236
Phone (313) 343-4411

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

5850 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124
Phone (216) 844-1765

960 Clague Rd
Ste 1600
Westlake, OH 44145
Phone (216) 844-1765

4176 State Route 306
Ste 300
Willoughby, OH 44094
Phone (216) 844-1765

Interoperability endpoints

  • Direct secure messaging: sgowda1130444@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1801311956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3661",
            "fax_number": "316-844-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4176 State Route 306 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440949203",
            "country_code": "US",
            "telephone_number": "216-844-1765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Clague Rd Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451586",
            "country_code": "US",
            "telephone_number": "216-844-1765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 Landerbrook Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441244071",
            "country_code": "US",
            "telephone_number": "440-646-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "SHASHIKALA",
        "middle_name": "BASAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "OH",
            "license": "35.154220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASHIKALA",
            "last_name": "GOWDA",
            "middle_name": "BASAV",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.