Active NPI
Ghazala Shaneen Shah
- Surgery Physician
- Oxon Hill, MD
National Provider Identifier
1972682862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0050980
- Practice address
- 6357 Oxon Hill Rd
Oxon Hill, MD 20745 - Phone
- (301) 839-2700
- Fax
- (301) 839-1354
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0050980 | MD | Primary |
| Surgery Physician | 208600000X | MD22170 | DC | |
| Surgery Physician | 208600000X | 0101055001 | VA |
Addresses
Primary practice location
6357 Oxon Hill Rd
Oxon Hill, MD 20745
Mailing address
6357 Oxon Hill Rd
Oxon Hill, MD 20745
Phone (301) 839-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6357 Oxon Hill Rd
Oxon Hill, MD 20745-2214
Phone (301) 839-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22170 | DC | MD | Surgery Physician |
| 0101055001 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Washington Medicenter LLC. T/a Healthcare of Greater Washingto | Current | Accepting new patients |
Locations
6357 Oxon Hill Rd
Oxon Hill, MD 20745
Phone (301) 220-0435
Organizations & group practices 1
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.
-
- Legal Medicine
- Oxon Hill, MD
- NPI 1366517013
DC
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lanham, MD
- NPI 1700900248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1972682862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6357 OXON HILL RD",
"city": "OXON HILL",
"state": "MD",
"postal_code": "20745",
"telephone_number": "301-839-2700",
"fax_number": "301-839-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6357 OXON HILL RD",
"city": "OXON HILL",
"state": "MD",
"postal_code": "20745",
"telephone_number": "301-839-2700",
"fax_number": "301-839-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "GHAZALA",
"middle_name": "SHANEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0050980",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "MD22170",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101055001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.