Active NPI
Shabana Shahanavaz, MD
- Pediatric Cardiology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 35.140161
- Practice address
- 3333 Burnet Ave
MLC 2003
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4432
- Fax
- (513) 636-3952
- NPI assigned
- Feb 11, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 54308 | KY | |
| Pediatric Cardiology Physician | 2080P0202X | 2011031514 | MO | |
| Pediatric Cardiology Physician | 2080P0202X | 01092178A | IN | |
| Pediatric Cardiology Physician | 2080P0202X | 35.140161 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
MLC 2003
Cincinnati, OH 45229-3026
Mailing address
1 Childrens PL
NWT 8328 CB 8116
Saint Louis, MO 63110-1002
Phone (314) 454-6095
Other practice location 1
UK Healthcare
800 Rose Street
Lexington, KY 40503
Phone (859) 323-5000
Other practice location 2
8333 Naab Rd Ste 320
Indianapolis, IN 46260-1983
Phone (317) 338-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IL | |
| 1811229107 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011031514 | MO | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| Children'S Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8333 Naab Rd
Ste 320
Indianapolis, IN 46260
Phone (317) 338-3000
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
#2003
Cincinnati, OH 45229
Phone (513) 636-4432
Interoperability endpoints
- sshahanavaz367458@direct.uchealth.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1811229107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"address_2": "NWT 8328 CB 8116",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-454-6095",
"fax_number": "314-454-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "MLC 2003",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4432",
"fax_number": "513-636-3952"
}
],
"practiceLocations": [
{
"address_1": "UK Healthcare",
"address_2": "800 Rose Street",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40503",
"country_code": "US",
"telephone_number": "859-323-5000",
"fax_number": "859-257-3347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8333 Naab Rd Ste 320",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601983",
"country_code": "US",
"telephone_number": "317-338-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHANAVAZ",
"first_name": "SHABANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "54308",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MO",
"license": "2011031514",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "IN",
"license": "01092178A",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OH",
"license": "35.140161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811229107",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.