Individual provider Active NPI

Rubina Hassan Shah, M.D.

  • Diagnostic Radiology Physician
  • Toledo, OH
National Provider Identifier
1851476147
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0082239 Issued in MD
Practice address
2658 W. Laskey Road
2ND Floor
Toledo, OH 43613-3288
Phone
(419) 473-8105
Fax
(419) 254-2121
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0082239 MD Primary

Addresses

Primary practice location

2658 W. Laskey Road
2ND Floor
Toledo, OH 43613-3288

Mailing address

7253 Ambassador Rd
Baltimore, MD 21244-2710
Phone (614) 771-2222

Other identifiers 1

IdentifierTypeStateIssuer
2366318MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20161114001957 MD Practitioner - Diagnostic Radiology 7911040712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0082239MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Fauster Cameron Inc. Past Accepting new patients
Consulting Radiologists Corporation Diagnostic Radiology Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

8820 Columbia 100 Pkwy
Ste 100
Columbia, MD 21045
Phone (443) 436-4100

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851476147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "614-771-2222",
            "fax_number": "614-771-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 W. LASKEY ROAD",
            "address_2": "2ND FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133288",
            "telephone_number": "419-473-8105",
            "fax_number": "419-254-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUBINA",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0082239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366318",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.