Active NPI
Mani Shahidi, PA
- Medical Physician Assistant
- Centennial, CO
National Provider Identifier
1831210434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2426
- Practice address
- 6342 E Geddes Ave
Centennial, CO 80112-1536 - Phone
- (720) 529-9758
- Fax
- (561) 498-5856
- NPI assigned
- Apr 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2426 | CO | Primary |
Addresses
Primary practice location
6342 E Geddes Ave
Centennial, CO 80112-1536
Mailing address
6301 W 38TH Ave
Wheat Ridge, CO 80033-5057
Phone (303) 940-9118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2426 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moshe E Hirth MD PA | Past | Accepting new patients | |
| Elite Healthcare Systems, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://915c31a9-c72e-45b9-87e6-b62da9b7e18b.gastro.prod.fhir.ema-api.com/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- NPI 1710150495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1831210434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800335057",
"telephone_number": "303-940-9118",
"fax_number": "303-940-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6342 E GEDDES AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121536",
"telephone_number": "720-529-9758",
"fax_number": "561-498-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHIDI",
"first_name": "MANI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.