SHORTA YUASA M.D. NPI 1629024328

NPI Information

  • NPI: 1629024328
  • Provider Name: SHORTA YUASA, M.D.
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 295 VARNUM AVE
    LOWELL, MA
    ZIP 01854
  • Phone: (978) 937-6161

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NPI Details

Shorta Yuasa, M.D. is an addiction medicine internal medicine in Lowell, MA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Shorta Yuasa, M.D. NPI is 1629024328. 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:

295 VARNUM AVE
LOWELL, MA
ZIP 01854-134
Phone: (978) 937-6161

The NPI 1629024328 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 5/25/2006 and was last updated on 12/15/2015.

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
1207P00000XEmergency Medicine153944MASSACHUSETTSNo
2207RA0401XInternal MedicineAddiction Medicine153944MASSACHUSETTSYes

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
1A2263201MEDICARE PINMASSACHUSETTS
2J17924OTHERMASSACHUSETTSBCBS
33171353MEDICAIDMASSACHUSETTS

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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