MALCOLM SHUPECK MD NPI 1245247436

NPI Information

  • NPI: 1245247436
  • Provider Name: MALCOLM SHUPECK, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 5400 KENNEDY AVE
    CINCINNATI, OH
    ZIP 45213
  • Phone: (513) 281-3400

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NPI Details

Malcolm Shupeck, MD is a diagnostic radiology radiology in Cincinnati, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Malcolm Shupeck, MD NPI is 1245247436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5400 KENNEDY AVE
CINCINNATI, OH
ZIP 45213-664
Phone: (513) 281-3400
Fax: (513) 527-2275

The enumeration date for this NPI number is 8/1/2006 and was last updated on 4/1/2015.

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
1207T00000XNeurological Surgery35-091781OHIONo
2207T00000XNeurological Surgery00-38557NORTH CAROLINANo
32085R0202XRadiologyDiagnostic Radiology35-091781OHIOYes

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 Other Provider Identifier Issuer
1E30770MEDICARE UPINNORTH CAROLINA
2SH4256502MEDICARE PINOHIO
3E30770MEDICARE UPIN
42966474MEDICAIDOHIO
58976094MEDICAIDNORTH CAROLINA

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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