Jigar Kanubhai Shah, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD39642 Issued in TN

Practice address

274 Clear Sky CT
Clarksville Cancer Care
Clarksville, TN 37043-5653

Phone

(931) 802-8056

Fax

(931) 802-8059

NPI assigned

Jul 19, 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 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

University of Cincinnati College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
• Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

Merit-based Incentive Payment System (MIPS)

Final score

93.04 of 100Reported as individual

Quality

86.02

Improvement activities

40

Cost

81.1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDDEAA/Endpoint/JDDEAA

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.

• Cancer Care, PLC

  • Hematology & Oncology Physician
  • Clarksville, TN
  • NPI 1265628226
  Medicare reassignment NPD Authorized official
• Healthstar Medical Group PLLC

  • Urgent Care Clinic/Center
  • Clarksville, TN
  • NPI 1801675426
  Medicare reassignment NPD Authorized official
• Red River Medical Group Corporation

  • Internal Medicine Physician
  • Clarksville, TN
  • NPI 1629857248
  Medicare reassignment NPD Authorized official
• Northstar Medical Group LLC

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1538977277
  NPD
• Cookeville Regional Medical Center

  • Hospitalist Physician
  • Cookeville, TN
  • NPI 1023397031

  Hematology & Oncology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarksville Health System, LLC

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Springfield Health Services, LLC

  • General Acute Care Hospital
  • Springfield, TN
  • NPI 1093397184
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1013936079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SAVANNAH TRACE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435442",
            "telephone_number": "931-802-8056",
            "fax_number": "931-802-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 CLEAR SKY CT",
            "address_2": "CLARKSVILLE CANCER CARE",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435653",
            "telephone_number": "931-802-8056",
            "fax_number": "931-802-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JIGAR",
        "middle_name": "KANUBHAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD39642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33358601",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4119802",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allena Danielle Seward
• Kathryn Seyer
• Sarah Lena Seysock
• Sheila Jennings Shafer, PMHNP
• Jessica Shaffer
• Maitreyi Shah
• Minesh N Shah, MD
• Kourtney Shann
• Diana Yong Sharp, LPN
• Sara N. Sharp, B.S.

• Hematology & Oncology Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.