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SHADI R JURDI MD
NPI 1427218064
Internal Medicine in Pickerington, OH

Active since June 16, 2008PECOS Enrolled
1030 REFUGEE RD STE 296, PICKERINGTON, OH 43147(614) 788-4300(614) 533-0191 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2022, Sep 19, 2019, Aug 15, 2016 (3 updates tracked since 2016).

About Shadi R Jurdi Md NPPES

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

SHADI R JURDI MD (NPI 1427218064) is an individual internal medicine provider in Pickerington, Ohio, licensed in Ohio (35.131462) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427218064
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHADI R JURDICredential: MD
Location Address1030 REFUGEE RD STE 296Pickerington, OH 43147-0047
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(614) 788-4300
Fax(614) 533-0191
Sole ProprietorNo
Enumeration DateJune 16, 2008
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
✔ NPI 1427218064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.131462
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 47940 (KY)
1030 REFUGEE RD STE 296, Pickerington, OH 43147
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Other Identifiers 1

Medicaid02400009OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi R Jurdi 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.

Medicare Billing Reassignment

Medicare enrollment records show Shadi Jurdi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Associates, Inc.
186 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. HERMAN S DYAL MD
Internal Medicine (Pulmonary Disease)
1030 REFUGEE RD STE 296
PICKERINGTON, OH 43147
Fairfield County (614) 566-9143
DR. GEOFFREY DAVID BASS MD, MBA
Internal Medicine (Critical Care Medicine)
1030 REFUGEE RD STE 296
PICKERINGTON, OH 43147
Fairfield County (614) 566-9143

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 Shadi Jurdi's NPI number?

The NPI number for Shadi Jurdi is 1427218064. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Shadi Jurdi located?

Shadi Jurdi practices at 1030 Refugee Rd Ste 296, Pickerington, OH 43147. The listed phone number is (614) 788-4300.

What is Shadi Jurdi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shadi Jurdi enrolled in Medicare?

Yes. Shadi Jurdi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shadi Jurdi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shadi Jurdi reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shadi Jurdi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shadi Jurdi accept?

Health plans from CareSource list Shadi Jurdi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadi Jurdi was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.