Mukesh Vasantlal Shah, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

024125E Issued in PA

Practice address

1200 McKean Ave
Suite 104
Charleroi, PA 15022-2141

Phone

(724) 489-0523

Fax

(724) 489-0321

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Mukesh V. Shah, MD PC

  • Gastroenterology Physician
  • Waynesburg, PA
  • NPI 1891903662
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003983065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112728",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152410328",
            "telephone_number": "724-489-0523",
            "fax_number": "724-489-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCKEAN AVE",
            "address_2": "SUITE 104",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222141",
            "telephone_number": "724-489-0523",
            "fax_number": "724-489-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MUKESH",
        "middle_name": "VASANTLAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "024125E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008842650006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary T. Sarnese, LCSW
• Eugene G. Scaramucci, D.M.D
• Ronda Lynn Schollaert, LSW
• Scott Daniel Seifert, DO
• Dana P Shaffer, PT
• Southwestern Pennsylvania Area
• Nicole Stanko, P.T.
• Lindsay M Syster, B.A.
• Scott P Szelong, DPT
• The Eyesight Center

• Gastroenterology Physician in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.