DR. SHAJU SHAMSUDDIN MD NPI 1982696878

NPI Information

  • NPI: 1982696878
  • Provider Name: DR. SHAJU SHAMSUDDIN, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 667 EASTLAND AVE SE
    WARREN, OH
    ZIP 44484
  • Phone: (330) 841-4126

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NPI Details

DR. Shaju Shamsuddin, MD is a radiation oncology radiology in Warren, OH with 36 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Shaju Shamsuddin, MD NPI is 1982696878. 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:

667 EASTLAND AVE SE
WARREN, OH
ZIP 44484-503
Phone: (330) 841-4126
Fax: (330) 841-4598

The NPI 1982696878 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • Special radiation therapy planning (HCPCS:77331)
  • Special radiation treatment (HCPCS:77470)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Special radiation therapy planning for delivery of external radiation (HCPCS:77321)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/17/2005 and was last updated on 1/1/2017.

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
12085R0001XRadiologyRadiation Oncology35.069956OHIOYes
22085R0001XRadiologyRadiation OncologyMD062322LPENNSYLVANIANo

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
1G74901MEDICARE UPINPENNSYLVANIA
2101275823MEDICAIDPENNSYLVANIA
32075301MEDICAIDOHIO
4H440680OTHEROHIOMEDICARE PTAN

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: 3/30/2025

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