ENAS MOHAMED SHANSHEN MD NPI 1093092389

NPI Information

NPI: 1093092389
Provider Name: ENAS MOHAMED SHANSHEN, MD
Classification: Pediatrics - 2080P0202X
Specialization: Pediatric Cardiology
Entity Type: Individual
PECOS Registration: Yes
Address: 400 N 9TH ST FL 2
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000

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NPI Details

Enas Mohamed Shanshen, MD is a pediatric cardiology pediatrics in Springfield, IL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Enas Mohamed Shanshen, MD NPI is 1093092389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 N 9TH ST FL 2
SPRINGFIELD, IL
ZIP 62702-310
Phone: (217) 545-8000

The NPI 1093092389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 7/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	46386	TEXAS	Yes
2	2080P0202X	Pediatrics	Pediatric Cardiology	45984	TEXAS	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	379876102	MEDICAID	TEXAS
2	82004234	MEDICAID	NEW MEXICO
3	200724170A	MEDICAID	OKLAHOMA
4	379876101	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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