DR. ILYA YEVGENIEVICH SHADRIN MD, PHD
NPI 1205331261
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Ilya Shadrin's NPI number?

The NPI number for Ilya Shadrin is 1205331261. It was assigned to this individual provider in the NPPES registry on March 29, 2018. The provider is also known as Ilia Yevgenievich Shadrin.

Q: What is Ilya Shadrin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ilya Shadrin was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2018PECOS Enrolled

2301 ERWIN RD # DUMC3845, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2021, Aug 27, 2020, Jul 31, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Dr. Ilya Yevgenievich Shadrin Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ILYA YEVGENIEVICH SHADRIN MD, PHD (NPI 1205331261) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205331261

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ILYA YEVGENIEVICH SHADRINCredential: MD, PHD

Location Address2301 ERWIN RD # DUMC3845Durham, NC 27705-4699

Mailing Address2301 Erwin Rd # Dumc3845Durham, NC 27705-4699 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateMarch 29, 2018

Last NPPES UpdateJuly 13, 20216 updates tracked since enumeration

NPPES CertifiedJuly 13, 2021

✔ NPI 1205331261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2301 ERWIN RD # DUMC3845, Durham, NC 27705

Open in Google Maps ↗

Other Names 1

Other Name (5)Ilia Yevgenievich Shadrin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilya Yevgenievich Shadrin Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN JOHN GREENE M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2301 ERWIN RD # DUMC3845
DURHAM, NC 27705

Durham County (919) 684-8111

MOHAMMAD SHAHZEB KHAN MD

Internal Medicine (Cardiovascular Disease)

2301 ERWIN RD # DUMC3845
DURHAM, NC 27705

Durham County (919) 684-8111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilya Shadrin's NPI number?

The NPI number for Ilya Shadrin is 1205331261. It was assigned to this individual provider in the NPPES registry on March 29, 2018. The provider is also known as Ilia Yevgenievich Shadrin.

Where is Ilya Shadrin located?

Ilya Shadrin practices at 2301 Erwin Rd # Dumc3845, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Ilya Shadrin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ilya Shadrin enrolled in Medicare?

Yes. Ilya Shadrin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilya Shadrin was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.