Individual provider Active NPI

Shah Huzaifa Feroz, M.D.

  • General Practice Physician
  • Eastlake, OH
National Provider Identifier
1972249209
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.152480 Issued in OH
Practice address
34881 Glen Dr
Eastlake, OH 44095-2620
Phone
(203) 909-4838
NPI assigned
May 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.152480 OH Primary

Addresses

Primary practice location

34881 Glen Dr
Eastlake, OH 44095-2620

Mailing address

34881 Glen Dr
Eastlake, OH 44095-2620
Phone (203) 909-4838

Other practice location 1

20 York Street
YNHH Tompkins 226
New Haven, CT 06510-3220
Phone (203) 688-9503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1972249209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34881 GLEN DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952620",
            "telephone_number": "203-909-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34881 GLEN DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952620",
            "telephone_number": "203-909-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York Street",
            "address_2": "YNHH Tompkins 226",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-9503",
            "fax_number": "203-688-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEROZ",
        "first_name": "SHAH",
        "middle_name": "HUZAIFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.152480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastlake, OH

Sources for this page

Verify at the official NPI Registry.