Individual provider Active NPI

Hany Shanoudy

  • Cardiovascular Disease Physician
  • Altoona, PA
National Provider Identifier
1942206784
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD059785L Issued in PA
Practice address
1321 11TH Ave
Altoona, PA 16601-3301
Phone
(814) 942-2411
NPI assigned
Jun 27, 2005
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD059785L PA Primary

Addresses

Primary practice location

1321 11TH Ave
Altoona, PA 16601-3301

Mailing address

1321 11TH Ave
Altoona, PA 16601-3301

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

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
I20050411000518 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052358132 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Altoona LLPGroup PAC ID 0042367476, 21 clinicians

Practice addresses (Care Compare)

1123 Franklin St
Johnstown, PA 15905-4309
Phone (814) 942-2411

1321 11TH Ave
Altoona, PA 16601-3301
Phone (814) 942-2411

290 Haida Ave
Hastings, PA 16646-5610
Phone (814) 247-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059785LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Miners Medical Center LLC Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Mar 1, 2021 Accepting new patients
Cardiology Associates of Altoona, LLP Cardiovascular Disease CurrentSince Jan 1, 1998 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Jun 1, 2021 Accepting new patients
Tyrone Hospital Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 1, 2021 Accepting new patients
Tyrone Hospital CurrentSince Oct 1, 2015 Accepting new patients
Tyrone Hospital CurrentSince Oct 1, 2015 Accepting new patients
J C Blair Medical Services Inc Cardiovascular Disease CurrentSince May 25, 2010 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1321 11th Ave
Altoona, PA 16601
Phone (814) 942-2411

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1227 Warm Springs Ave
Ste 202
Huntingdon, PA 16652
Phone (814) 643-4878

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

187 Hospital Dr
#A
Tyrone, PA 16686
Phone (814) 503-4735

Interoperability endpoints

  • Direct secure messaging: drhshanoudy@caa.medentdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1942206784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 11TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 11TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013301",
            "telephone_number": "814-942-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANOUDY",
        "first_name": "HANY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD059785L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "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 Altoona, PA

Sources for this page

Verify at the official NPI Registry.