Active NPI
Shaji C Menon, MD
- Pediatric Cardiology Physician
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- MD476839
- 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, 2026
- 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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD476839 | PA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Current | Accepting new patients | |
| Max Healthcare Consultant PLLC | Pediatrics | Current | Accepting new patients |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Pinnacle Health Cardiovascular Institute Inc | Pediatric Cardiology | Current | 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
- shaji.c.menon@upmcdirect.com
- 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.
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1952603342
Pediatric Cardiology
-
dba Susquehanna Health Medical Group
- Cardiovascular Disease Physician
- Williamsport, PA
- NPI 1861431116
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.