DR. MUDHER NAJAH AL SHATHIR MD
NPI 1457594897
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Q: What is Mudher Al Shathir's NPI number?

The NPI number for Mudher Al Shathir is 1457594897. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Q: What is Mudher Al Shathir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mudher Al Shathir was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2009PECOS EnrolledAccepts Medicare Assignment

4760 E GALBRAITH RD STE 206, CINCINNATI, OH 45236(513) 791-4490(513) 791-7287 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 4, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Mudher Najah Al Shathir Md NPPES

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

DR. MUDHER NAJAH AL SHATHIR MD (NPI 1457594897) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35099669) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1457594897

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MUDHER NAJAH AL SHATHIRCredential: MD

Location Address4760 E GALBRAITH RD STE 206Cincinnati, OH 45236-6704

Mailing Address4760 E Galbraith Rd Ste 206Cincinnati, OH 45236-6704 · (513) 791-4490 · Fax (513) 791-7287

Phone(513) 791-4490

Fax(513) 791-7287

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 15, 2009

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1457594897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35099669

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 52830 (TN), 0101251931 (VA)

4760 E GALBRAITH RD STE 206, Cincinnati, OH 45236

Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 N State Of Franklin RdJohnson City, TN 37604-6062 · Phone (423) 439-6283

Other Identifiers 3

MedicaidQ016896TN

Medicaid1457594897NC

Medicaid1457594897VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mudher Najah Al Shathir Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931355781

PECOS Enrollment IDI20120809000517

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

112 services44 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

110 services72 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

108 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services52 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

50 services48 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

50 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services42 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

41 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360001

Location7500 State RoadCincinnati, OH 45255 · Hamilton County

Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360016

Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County

Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360056

Location3000 Mack RoadFairfield, OH 45014 · Butler County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers11 claims11 services$49.50 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers16 claims85 services$1.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers32 claims32 services$13.80 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers13 claims13 services$83.81 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers75 claims75 services$61.33 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers36 claims36 services$27.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 3

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

KENWOOD PULMONARY MEDICINE INC

Internal Medicine (Pulmonary Disease)

4760 E GALBRAITH RD STE 206
CINCINNATI, OH 45236

Hamilton County (513) 791-4490

AMANDA L RUMPKE CNP

Nurse Practitioner (Acute Care)

4760 E GALBRAITH RD STE 206
CINCINNATI, OH 45236

Hamilton County (513) 791-4490

LUIS CARLOS WATANABE TEJADA M.D.

Internal Medicine

4760 E GALBRAITH RD STE 206
CINCINNATI, OH 45236

Hamilton County (513) 791-4490

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 Mudher Al Shathir's NPI number?

The NPI number for Mudher Al Shathir is 1457594897. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Mudher Al Shathir located?

Mudher Al Shathir practices at 4760 E Galbraith Rd Ste 206, Cincinnati, OH 45236. The listed phone number is (513) 791-4490.

What is Mudher Al Shathir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mudher Al Shathir enrolled in Medicare?

Yes. Mudher Al Shathir is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mudher Al Shathir accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Mudher Al Shathir 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.

Is Mudher Al Shathir affiliated with any hospitals?

According to CMS data, Mudher Al Shathir is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Mudher Al Shathir was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.