Organization Active NPI

Signature Meds, LLC

  • Internal Medicine Physician
  • Fairview Park, OH
National Provider Identifier
1952896250
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.081431 Issued in OH
Legal business name
SIGNATURE MEDS, LLC
Practice address
19050 Lorain Rd
Fairview Park, OH 44126-1915
Phone
(216) 252-8000
Fax
(216) 252-8117
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Mohamed Shahed, MDNPI 1922075399
Title
MD/Owner
Phone
(216) 252-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35.081431 OH Primary

Addresses

Primary practice location

19050 Lorain Rd
Fairview Park, OH 44126-1915

Mailing address

PO Box 770850
Lakewood, OH 44107-0038
Phone (216) 252-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180823001991 OH Part B Supplier - Clinic/Group Practice 0244589273 Receives reassigned benefits from 1 practitioner
Practice locations: Fairview Park, OH

National Provider Directory

National Provider Directory

Locations

19050 Lorain Rd
Ste 303
Cleveland, OH 44126

19050 Lorain Rd
Fairview Park, OH 44126
Phone (216) 252-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1952896250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770850",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441070038",
            "telephone_number": "216-252-8000",
            "fax_number": "216-252-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19050 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261915",
            "telephone_number": "216-252-8000",
            "fax_number": "216-252-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE MEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "SHAHED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "216-252-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.081431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.