Dr Shaju Shamsuddin, MD in Warren, OH - Medicare Radiation Oncology

Dr Shaju Shamsuddin, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Warren, Ohio. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Neo Urology Associates Inc, Triad Health Services Llc, Gagnon Oncology Llc and his current practice location is 667 Eastland Ave Se, Warren, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 841-4126.

Dr Shaju Shamsuddin is licensed to practice in Ohio (license number 35.069956) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982696878.

Contact Information

	Dr Shaju Shamsuddin, MD
	667 Eastland Ave Se, Warren, OH 44484-4503
	(330) 841-4126
	(330) 841-4598

Map and Direction

Physician's Profile

Full Name	Dr Shaju Shamsuddin
Gender	Male
Speciality	Radiation Oncology
Experience	35 Years
Location	667 Eastland Ave Se, Warren, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shaju Shamsuddin graduated from medical school in 1989

NPI Data:

NPI Number: 1982696878
Provider Enumeration Date: 08/17/2005
Last Update Date: 01/01/2017

Medicare PECOS Information:

PECOS PAC ID: 9931152014
Enrollment ID: I20151002001052

Medical Identifiers

Medical identifiers for Dr Shaju Shamsuddin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982696878	NPI	-	NPPES
101275823	Medicaid	PA
H440680	Other	OH	MEDICARE PTAN
2075301	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	MD062322L (Pennsylvania)	Secondary
2085R0001X	Radiology - Radiation Oncology	35.069956 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meritus Medical Center	Hagerstown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neo Urology Associates Inc	8628088036	16
Triad Health Services Llc	9032367917	187
Gagnon Oncology Llc	5496913030	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shaju Shamsuddin allows following entities to bill medicare on his behalf.

Entity Name	Neo Urology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598798878 PECOS PAC ID: 8628088036 Enrollment ID: O20060501000243

Entity Name	Mercy Health Physicians Youngstown, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753

Entity Name	Triad Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787

Entity Name	Mercy Health Physicians Youngstown Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shaju Shamsuddin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shaju Shamsuddin, MD 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4126	Dr Shaju Shamsuddin, MD 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4126

Reviews and Comments

Radiology Doctors in Warren, OH

Dr. Sriram Mannava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311
Dr. Murray H Weissmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311
Tejas Pulisetty, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311
Carol Congeni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311
Dr. Kevin Daniel Kelley, M.D., PHD Radiology Medicare: Medicare Enrolled Practice Location: 1353 E Market St, Warren, OH 44483 Phone: 330-841-9399
Mercedes E Ramas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311
Sami Sid Ahmed Elsayed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311

Dr Shaju Shamsuddin, MD - Medicare Radiation Oncology in Warren, OH