Dipti R Shah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

12211 Issued in NV

Practice address

2628 W Charleston Blvd
Las Vegas, NV 89102-2176

Phone

(702) 644-0500

Fax

(702) 641-4600

NPI assigned

Nov 8, 2006

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Radar Medical Group LLP

  dba University Urgent Care

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1881888956

  Nephrology

  Medicare reassignment NPD Authorized official
• Russell J. Shah MD LTD

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1033389325
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1023188125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A-425",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-644-0500",
            "fax_number": "702-641-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022176",
            "telephone_number": "702-644-0500",
            "fax_number": "702-641-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPTI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A068874",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "12211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aasna J Shah, D.O.
• Alpa Bharat Shah, M.D.
• Ami Praful Shah
• Beren Mahesh Shah, D.P.T.
• Dhaval Jasvant Shah, M.D.
• Kimball Y Shah
• Krupa Uday Shah, PA-C
• Mane Shah, MD
• Pinak A Shah, MD
• Rahi Shah, DDS

• Nephrology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nephrology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.