Active NPI
Abdul R Shahein
- Pediatric Gastroenterology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- E-11478
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2664 - Phone
- (614) 722-2000
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.173148 | IL | |
| Pediatric Gastroenterology Physician | 2080P0206X | 036.173148 | IL | |
| Pediatric Gastroenterology Physician | 2080P0206X | E-11478 | AR | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
160 E Erie Ave
Philadelphia, PA 19134-1011
Other practice location 1
400 N 9th St Fl 4
Springfield, IL 62702-5310
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.173148 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients |
Locations
400 N 9th St
Fl 4
Springfield, IL 62702
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6465 S Yale Ave
Ste 420
Tulsa, OK 74136
Phone (918) 502-1700
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
Interoperability endpoints
- ashahein321710@direct.saintfrancis.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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1811236714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "400 N 9th St Fl 4",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025310",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-1036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHEIN",
"first_name": "ABDUL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.173148",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IL",
"license": "036.173148",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AR",
"license": "E-11478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.