DR. SHAHID NADEEM (M.D) – Pediatric Nephrology Physician, NPI 1417111964
Pediatric Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
547 NEPHROLOGY in OH
Provider Addresses for DR. SHAHID NADEEM (M.D)
1 Childrens Plz
Dayton, OH 454041815
Phone: (937) 641-3600
Fax: (937) 641-5802
Type: Location
333 N Santa Rosa
San Antonio, TX 782073108
Phone: (210) 704-4100
Type: Location
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-3400
Fax: (937) 641-4880
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752845347
Phone: (214) 456-7000
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907201
Phone: (214) 456-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190108004089 | I | Pediatric Medicine | OH | TBD |
| I20200316001918 | I | Pediatric Medicine | TX | TBD |
| I20241121000228 | I | Nephrology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MS | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional Cardiology | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| Nephrology, Pediatric Medicine, Nephrology, Pediatric Medicine | TX | |
| Internal Medicine, Nephrology, Pediatric Medicine, Nephrology | TN | |
| Pediatric Medicine, Nephrology | TX |
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