Individual provider Active NPI

Neal Bharat Shah, M.D.

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1003251927
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0087561 Issued in MD
Practice address
6830 Hospital Dr Ste 204
Baltimore, MD 21237-4377
Phone
(434) 559-5063
Fax
(443) 559-5078
NPI assigned
May 6, 2013
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0087561 MD Primary

Addresses

Primary practice location

6830 Hospital Dr Ste 204
Baltimore, MD 21237-4377

Mailing address

6830 Hospital Dr Ste 204
Baltimore, MD 21237-4377
Phone (434) 559-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905000616 MD Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 0345579025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0087561MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Kidney Group PA Nephrology CurrentSince Feb 1, 2024 Accepting new patients

Locations

6830 Hospital Dr
Ste 204
Rosedale, MD 21237
Phone (410) 391-6131

9411 Philadelphia Rd
Ste A
Rosedale, MD 21237
Phone (410) 823-0030

Interoperability endpoints

  • Direct secure messaging: nshah60396@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1003251927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374377",
            "telephone_number": "434-559-5063",
            "fax_number": "443-559-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374377",
            "telephone_number": "434-559-5063",
            "fax_number": "443-559-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEAL",
        "middle_name": "BHARAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0087561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.