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MINA SHENOUDA MD
NPI 1235923806
Student in an Organized Health Care Education/Training Program in Utica, NY

Active since April 08, 2025PECOS Enrolled
111 HOSPITAL DR, UTICA, NY 13502(315) 917-9966 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mina Shenouda Md NPPES

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

MINA SHENOUDA MD (NPI 1235923806) is an individual student in an organized health care education/training program in Utica, New York and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235923806
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMINA SHENOUDACredential: MD
Location Address111 HOSPITAL DRUtica, NY 13502-2517
Mailing Address2215 Genesee StUtica, NY 13501-5930 · (315) 801-8534
Phone(315) 917-9966
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1235923806 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.
111 HOSPITAL DR, Utica, NY 13502
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mina Shenouda Md 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 20

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

MISS JENNA YAGER FNP
Nurse Practitioner (Family)
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
PUJA SENGUPTA MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
MURISA MALAGIC DPM
Podiatrist
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
DR. IBRAHIM SHAWKI ELKILANY MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
MOLLY TAFT PA-C
Physician Assistant (Medical)
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
ROBERT TALAY MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
INFECTIOUS DISEASE ASSOCIATES LLP
Internal Medicine (Infectious Disease)
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 624-6000
BENJAMIN VANDERPOOL PA-C
Physician Assistant
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966

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 Mina Shenouda's NPI number?

The NPI number for Mina Shenouda is 1235923806. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Mina Shenouda located?

Mina Shenouda practices at 111 Hospital Dr, Utica, NY 13502. The listed phone number is (315) 917-9966.

What is Mina Shenouda's specialty?

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

Is Mina Shenouda enrolled in Medicare?

Yes. Mina Shenouda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mina Shenouda was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.