Individual provider Active NPI

Deeshali Shah, D.O.

  • Diagnostic Radiology Physician
  • Farmington Hills, MI
National Provider Identifier
1023306594
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101019537 Issued in MI
Practice address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone
(559) 789-7547
NPI assigned
Jul 18, 2011
Last updated
Jul 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101019537 MI Primary

Addresses

Primary practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Mailing address

3602 Cherry Creek LN
Sterling Heights, MI 48314-1033
Phone (559) 789-7547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, KY, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160714001694 CA Practitioner - Diagnostic Radiology 0840582607 Reassigns benefits to 6 organizations
I20210527001818 AZ Practitioner - Diagnostic Radiology 0840582607 Reassigns benefits to 1 organization
I20250210003349 KY Practitioner - Diagnostic Radiology 0840582607 Reassigns benefits to 1 organization
I20250903001309 VA Practitioner - Diagnostic Radiology 0840582607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
William Carey University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Radiology IncGroup PAC ID 0941298764, 41 clinicians
Town Center Imaging 2 LLCGroup PAC ID 2860910171, 21 clinicians

Practice addresses (Care Compare)

Arroyo Grande, CA 93420
Phone (844) 828-1315

4677 Columbus St
Suite 101
Virginia Beach, VA 23462-6746
Phone (757) 943-3660

60 Mercy CT
Irvine, KY 40336-1331
Phone (606) 723-2115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.07 of 100Reported as group
Quality
57.65
Improvement activities
40
Cost
74.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019537MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnetic Resonance Imaging of San Luis Obispo, Inc. Diagnostic Radiology CurrentSince Jan 11, 2021 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince May 29, 2024 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Town Center Imaging 2 LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 1, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients

Locations

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

2001 Solar Dr
Ste 135
Oxnard, CA 93036
Phone (805) 988-0616

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

10101 Riverside Dr
Toluca Lake, CA 91602
Phone (818) 762-2626

2705 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 861-2200

4516 Market St
Bldg 1A
Ventura, CA 93003

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

4677 Columbus St
Ste 101
Virginia Beach, VA 23462
Phone (757) 943-3660

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1023306594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 CHERRY CREEK LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141033",
            "telephone_number": "559-789-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "559-789-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEESHALI",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101019537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.