MR. SHANE HENRY DUDA PA-C
NPI 1609248046
Physician Assistant - Medical in Warren, OH

Q: 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.

Q: What is Shane Duda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shane Duda was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 26, 2015PECOS Enrolled

627 EASTLAND AVE SE STE 102, WARREN, OH 44484(330) 306-5030 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

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.

NPPES Registry Identity

NPI1609248046

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. SHANE HENRY DUDACredential: PA-C

Location Address627 EASTLAND AVE SE STE 102Warren, OH 44484-4501

Mailing Address627 Eastland Ave Se Ste 102Warren, OH 44484-4501 · (330) 306-5030

Phone(330) 306-5030

Sole ProprietorNo

Enumeration DateOctober 26, 2015

Last NPPES UpdateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1609248046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in OH · 50.004537✔ Licensed in PA · MA057965

627 EASTLAND AVE SE STE 102, Warren, OH 44484

Open in Google Maps ↗

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 (PECOS)

Mr. Shane Henry Duda Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit for problem of high severity 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

44 services43 patients

Emergency department visit for life threatening or functioning severity 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

40 services40 patients

Emergency department visit for problem of moderate severity 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

27 services26 patients

Other Providers at the Same Location NPPES

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

MERCY HEALTH YOUNGSTOWN LLC

General Acute Care Hospital

627 EASTLAND AVE SE STE 102
WARREN, OH 44484

Trumbull County (330) 306-5030

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 enrollment system.

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 with the weekly NPPES data releases published by CMS.