NPIMap

Organization Active NPI

Mushtaq a Shah MD PA

Doing business as mushtaq shah

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1023369980
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D21843 Issued in MD
Legal business name
MUSHTAQ A SHAH MD PA
Doing business as
mushtaq shah
Practice address
7227 Hanover Pkwy
Ste a
Greenbelt, MD 20770-2025
Phone
(301) 220-0606
Fax
(301) 513-9049
NPI assigned
Oct 1, 2012
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Mr. Mushtaq A Shah, MDNPI 1043396633
Title
Owner/Physician
Phone
(301) 220-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D21843 MD Primary

Addresses

Primary practice location

7227 Hanover Pkwy
Ste a
Greenbelt, MD 20770-2025

Mailing address

7227 Hanover Pkwy
Ste a
Greenbelt, MD 20770-2025
Phone (301) 220-0606

Other identifiers 2

IdentifierTypeStateIssuer
1043396633OtherDCINDIVIDUAL NPI
12140001OtherDCCAREFIRST

Other names 1

  • mushtaq shah Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130408000352 DC Part B Supplier - Clinic/Group Practice 9931344314 Receives reassigned benefits from 3 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1023369980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 HANOVER PKWY",
            "address_2": "STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702025",
            "telephone_number": "301-220-0606",
            "fax_number": "301-513-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 HANOVER PKWY",
            "address_2": "STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702025",
            "telephone_number": "301-220-0606",
            "fax_number": "301-513-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSHTAQ A SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUSHTAQ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "301-220-0606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D21843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043396633",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "12140001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mushtaq shah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.