MR. SHANE HENRY DUDA PA-C
NPI 1609248046
Physician Assistant - Medical in Warren, OH
About Mr. Shane Henry Duda Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANE HENRY DUDA PA-C (NPI 1609248046) is an individual medical provider in Warren, Ohio, licensed in Ohio (50.004537) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Shane Henry Duda Pa-c 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shane Duda's NPI number?
The NPI number for Shane Duda is 1609248046. It was assigned to this individual provider in the NPPES registry on October 26, 2015.
Where is Shane Duda located?
Shane Duda practices at 627 Eastland Ave SE Ste 102, Warren, OH 44484. The listed phone number is (330) 306-5030.
What is Shane Duda's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shane Duda enrolled in Medicare?
Yes. Shane Duda 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 Shane Duda accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shane Duda 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 Shane Duda was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Shane Henry Duda, PA-C · NPI 1609248046
Medical physician in Warren, Ohio. Individual provider, active in the CMS NPPES registry since October 26, 2015.
## Identity
- **NPI:** 1609248046 (Entity type: Individual)
- **Enumerated:** October 26, 2015
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 50.004537 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 627 EASTLAND AVE SE STE 102, Warren, OH 44484-4501
- **Phone:** (330) 306-5030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609248046) · Data from the CMS NPPES public registry.