DR. SHAJI C MENON (MD) – Pediatric Cardiology Physician, NPI 1841278066
Pediatric Cardiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
279 PEDIATRIC MEDICINE in UT
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Provider Addresses for DR. SHAJI C MENON (MD)
PO BOX 413021
SALT LAKE CITY, UT 841413021
Phone: (801) 213-3900
Type: Mailing
Primary Children's Hospital, 100, Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
PEDIATRIC CARDIOLOGY
SALT LAKE CITY, UT 841131103
Phone: (801) 662-5400
Type: Location
1000 NORTH FRONT STREET
SUITE 290 PEDIATRIC CARDIOLOGY
WORMLEYSBURG, PA 170431045
Phone: (717) 761-0200
Fax: (717) 761-0641
Type: Mailing
1000 N FRONT ST STE 290
WORMLEYSBURG, PA 170431045
Phone: (717) 761-0200
Fax: (717) 761-0641
Type: Mailing
300 Bretz Court Suite 100
Pediatric Cardiology
Newport, PA 170748615
Phone: (717) 761-0200
Fax: (717) 761-0641
Type: Location
121 Towne Square Dr Ste 303
Hershey, PA 170339440
Phone: (717) 731-0101
Fax: (717) 731-8359
Type: Location
830 Norland Ave
Chambersburg, PA 172014217
Phone: (717) 217-6881
Fax: (717) 217-6889
Type: Location
100 Mario Capecchi Dr
Pediatric Cardiology
Salt Lake City, UT 841131103
Phone: (801) 662-5400
Type: Location
360 Alexander Spring Road
Pediatric Cardiology
Carlisle, PA 170159129
Phone: (717) 761-0200
Fax: (717) 761-0641
Type: Location
2020 TECHNOLOGY PKWY STE 201
MECHANICSBURG, PA 170509411
Phone: (717) 731-0101
Fax: (717) 731-8359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $29 |
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: 2022-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20220408000097 | I | Pediatric Medicine | PA | 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 84141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| - | PA | |
| Physician Assistant | PA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | PA | |
| Nurse Practitioner | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | PA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | PA | |
| - | PA | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | PA |
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