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MOUSUMEE SHAH MD
NPI 1780021451
Pediatrics - Pediatric Critical Care Medicine in Dayton, OH

Active since June 04, 2013PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3000(937) 641-3107 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 13, 2023, Jan 12, 2021, Jan 10, 2018 and 1 more (4 updates tracked since 2016).

About Mousumee Shah Md NPPES

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

MOUSUMEE SHAH MD (NPI 1780021451) is an individual pediatric critical care medicine provider in Dayton, Ohio, licensed in Ohio (35.137318) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miamisburg.

NPPES Registry Identity

NPI1780021451
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMOUSUMEE SHAHCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (919) 843-7036
Phone(937) 641-3000
Fax(937) 641-3107
Sole ProprietorYes
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1780021451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in OH · 35.137318✔ Licensed in NC · 192323
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 192323 (NC)
1 CHILDRENS PLZ, Dayton, OH 45404
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Secondary Practice Location 1

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-3000 · Fax (937) 641-3107

Other Identifiers 1

Medicaid0366519OH

Accepted Insurance

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

Mousumee Shah 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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600

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 Mousumee Shah's NPI number?

The NPI number for Mousumee Shah is 1780021451. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Mousumee Shah located?

Mousumee Shah practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3000.

What is Mousumee Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mousumee Shah enrolled in Medicare?

Yes. Mousumee Shah is registered in the Medicare PECOS enrollment system.

What insurance does Mousumee Shah accept?

Health plans from CareSource list Mousumee Shah 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 Mousumee Shah was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.