Active NPI
Nishit Shah
- Colon & Rectal Surgery Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- MD12780
- Practice address
- 208 Collyer St
Suite 302
Providence, RI 02904-1560 - Phone
- (401) 553-8322
- Fax
- (401) 868-2315
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 010123650 | VA | |
| Colon & Rectal Surgery Physician | 208C00000X | MD12780 | RI | Primary |
Addresses
Primary practice location
208 Collyer St
Suite 302
Providence, RI 02904-1560
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nish.shah@usasurg.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
234 E 149 St
Bronx, NY 10451-5504
2758 Middle Country Rd
Lake Grove, NY 11755-2118
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12780 | RI | MD | Colon & Rectal Surgery Physician |
| 010123650 | VA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1245 Wilshire Blvd
Ste 905
Los Angeles, CA 90017
Phone (213) 481-0584
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401
12462 Putnam St
Ste 500
Whittier, CA 90602
Phone (562) 789-5449
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- nshah8535854@nychhc.direct-ci.com
- nishitshah@pihh.allscriptsdirect.net
- nish.shah@usasurg.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Family Medicine Physician
- Whittier, CA
- NPI 1720232465
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1023052537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16149",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029160697",
"telephone_number": "401-453-9625",
"fax_number": "401-435-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLLYER ST",
"address_2": "SUITE 302",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041560",
"telephone_number": "401-553-8322",
"fax_number": "401-868-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NISHIT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "VA",
"license": "010123650",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "RI",
"license": "MD12780",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nish.shah@usasurg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "208 Collyer St",
"address_2": "Suite 302",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029041560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.