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SAMPURNA SHAKYA M.D.
NPI 1992238984
Pediatrics in Ashtabula, OH

Active since April 06, 2017PECOS Enrolled
2422 LAKE AVE, ASHTABULA, OH 44004(440) 997-6980(440) 994-7514 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sampurna Shakya M.d. NPPES

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

SAMPURNA SHAKYA M.D. (NPI 1992238984) is an individual pediatrics provider in Ashtabula, Ohio, licensed in Ohio (35.139245) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992238984
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSAMPURNA SHAKYACredential: M.D.
Location Address2422 LAKE AVEAshtabula, OH 44004-4985
Mailing Address2422 Lake AveAshtabula, OH 44004-4985 · (440) 997-6980 · Fax (440) 994-7514
Phone(440) 997-6980
Fax(440) 994-7514
Sole ProprietorYes
Enumeration DateApril 6, 2017
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1992238984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.139245
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2422 LAKE AVE, Ashtabula, OH 44004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sampurna Shakya M.d. 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 Sampurna Shakya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ashtabula County Medical Center
Same address
Specialist
2422 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1942247143 (440) 992-4422

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 44004 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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 20

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

JULIE E CALESTRO-MCDONALD MSW/LISW
Social Worker
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 992-4422
DORIS P. MILLER MD
Pediatrics
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 992-4422
JAMES NAM JAE CHO MD
Specialist
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 992-4422
PADMAJA CHILUKOTI MBBS, DGO
Pediatrics (Pediatric Endocrinology)
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 997-6980
JOHN POSCH MD
Orthopaedic Surgery
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 992-4422
REHAM E EL GAMMAL M.D.
Pediatrics
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 992-4422
MICHELLE LYNN DUNBAR DPM
Podiatrist
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 992-4422
HEARN VASCULAR, INC.
Surgery (Vascular Surgery)
2422 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 997-6933

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 Sampurna Shakya's NPI number?

The NPI number for Sampurna Shakya is 1992238984. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Sampurna Shakya located?

Sampurna Shakya practices at 2422 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 997-6980.

What is Sampurna Shakya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sampurna Shakya enrolled in Medicare?

Yes. Sampurna Shakya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sampurna Shakya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sampurna Shakya reassigns Medicare benefits to Ashtabula County Medical Center (Ashtabula, OH). 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 Sampurna Shakya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sampurna Shakya accept?

Health plans from CareSource, Molina Healthcare and Oscar Insurance Corporation of Ohio list Sampurna Shakya 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 Sampurna Shakya was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.