Active NPI
Gaurang B Shah, MD, PSC
- Specialist
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 32532
- Legal business name
- GAURANG B SHAH, MD, PSC
- Practice address
- 2025 Corporate Dr
Ste 1
Richmond, KY 40475-8884 - Phone
- (859) 625-0045
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaurang B Shah, M.D.
- Title
- Owner
- Phone
- (859) 625-0045
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 32532 | KY | Primary |
Addresses
Primary practice location
2025 Corporate Dr
Ste 1
Richmond, KY 40475-8884
Mailing address
2025 Corporate Dr
Ste 1
Richmond, KY 40475-8884
Phone (859) 625-0045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040216000084 | KY | Part B Supplier - Clinic/Group Practice | 1850285347 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0956264 | Gaurang Shah MD | Provider-performed microscopy | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
2025 Corporate Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302825600000",
"number": "1003090457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 CORPORATE DR",
"address_2": "STE 1",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758884",
"telephone_number": "859-625-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 CORPORATE DR",
"address_2": "STE 1",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758884",
"telephone_number": "859-625-0045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAURANG B SHAH, MD, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2011-04-15",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "GAURANG",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-625-0045",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "32532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.