Individual provider Active NPI

Shaji C Menon, MD

  • Pediatric Cardiology Physician
  • Mechanicsburg, PA
National Provider Identifier
1841278066
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD476839 Issued in PA
Practice address
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone
(717) 731-0101
Fax
(717) 731-8359
NPI assigned
Jan 6, 2006
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6962746-1205 UT
Pediatrics Physician 208000000X MD476839 PA
Pediatric Cardiology Physician 2080P0202X MD476839 PA Primary

Addresses

Primary practice location

2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411

Mailing address

1000 N Front St Ste 290
Wormleysburg, PA 17043-1045
Phone (717) 761-0200

Other practice location 1

300 Bretz Ct Ste 100
Pediatric Cardiology
Newport, PA 17074-8615
Phone (717) 761-0200

Other practice location 2

830 Norland Ave
Chambersburg, PA 17201-4217
Phone (717) 217-6881

Other practice location 3

360 Alexander Spring Rd
Pediatric Cardiology
Carlisle, PA 17015-9129
Phone (717) 761-0200

Other practice location 4

121 Towne Square Dr Ste 303
Hershey, PA 17033-9440
Phone (717) 731-0101

Other practice location 5

100 N Mario Capecchi Dr
Pediatric Cardiology
Salt Lake City, UT 84113-1103
Phone (801) 662-5400

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address shaji.menon1@direct.imail.org
Direct Messaging Address smenon210999@direct.med.utah.edu Direct UNIVERSITY OF UTAH
Direct Messaging Address smenon296500@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220408000097 PA Practitioner - Pediatric Medicine 7719905306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

111 S Front St
FL 2
Harrisburg, PA 17101-2010
Phone (717) 731-0101

360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD476839PAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Feb 28, 2024 Accepting new patients
Max Healthcare Consultant PLLC Pediatrics Current Accepting new patients
Susquehanna Physician Services CurrentSince Feb 28, 2024 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc Pediatric Cardiology CurrentSince Mar 1, 2022 Accepting new patients

Locations

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

830 Norland Ave
Chambersburg, PA 17201
Phone (717) 217-6881

121 Towne Square Dr
Ste 303
Hershey, PA 17033
Phone (717) 761-4141

2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

1000 N Front St
Wormleysburg, PA 17043

1000 N Front St
Ste 290
Wormleysburg, PA 17043

Interoperability endpoints

  • Direct secure messaging: shaji.c.menon@upmcdirect.com
  • Direct secure messaging: smenon296500@upmc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1841278066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST STE 290",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431045",
            "telephone_number": "717-761-0200",
            "fax_number": "717-761-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TECHNOLOGY PKWY STE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509411",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Bretz Ct Ste 100",
            "address_2": "Pediatric Cardiology",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "PA",
            "postal_code": "170748615",
            "country_code": "US",
            "telephone_number": "717-761-0200",
            "fax_number": "717-761-0641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014217",
            "country_code": "US",
            "telephone_number": "717-217-6881",
            "fax_number": "717-217-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Alexander Spring Rd",
            "address_2": "Pediatric Cardiology",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-761-0200",
            "fax_number": "717-761-0641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Towne Square Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170339440",
            "country_code": "US",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Mario Capecchi Dr",
            "address_2": "Pediatric Cardiology",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841131103",
            "country_code": "US",
            "telephone_number": "801-662-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENON",
        "first_name": "SHAJI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "6962746-1205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD476839",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD476839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaji.menon1@direct.imail.org",
            "affiliation": "N",
            "address_1": "100 N Mario Capecchi Dr",
            "address_2": "Pediatric Cardiology",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841131103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smenon210999@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smenon296500@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.