Individual provider Active NPI

Hemant M Shah, MD

  • Pulmonary Disease Physician
  • Kettering, OH
National Provider Identifier
1033130885
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35-65435 Issued in OH
Practice address
3533 Southern Blvd Ste 5800
Kettering, OH 45429-1263
Phone
(937) 439-3600
Fax
(937) 741-8366
NPI assigned
Jul 21, 2006
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35-065435 OH
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35-065435 OH
Pulmonary Disease Physician 207RP1001X 35-65435 OH Primary

Addresses

Primary practice location

3533 Southern Blvd Ste 5800
Kettering, OH 45429-1263

Mailing address

PO Box 933242
Cleveland, OH 44193-0035
Phone (937) 439-3600

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8805

Other practice location 2

4000 Miamisburg Centerville Rd Ste 405
Miamisburg, OH 45342-7615
Phone (937) 439-3600

Other practice location 3

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8805

Other practice location 4

3095 Dayton Xenia Rd Ste 800
Dayton, OH 45434-4310
Phone (937) 458-4010

Other identifiers 2

IdentifierTypeStateIssuer
110084173OtherOHRRMEDICARE PTAN
958629MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hshah195402@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070502000147 OH Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 2062319114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Medicine of Dayton IncGroup PAC ID 9335046481, 11 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3533 Southern Blvd
Suite 5800
Kettering, OH 45429-1263
Phone (937) 439-3600

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

3700 Southern Blvd
Kettering, OH 45429-1265

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-065435OHMDCritical Care Medicine (Internal Medicine) Physician
35-65435OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine of Dayton Inc. Pulmonary Disease CurrentSince Feb 1, 1994 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Pulmonary Medicine of Dayton, Inc Pulmonary Disease Past Accepting new patients

Locations

3095 Dayton Xenia Rd
Ste 800
Dayton, OH 45434
Phone (937) 352-2790

6728 Loop Rd
Ste 304
Dayton, OH 45459
Phone (937) 439-3600

3700 Southern Blvd
Ste 201
Kettering, OH 45429
Phone (855) 500-2873

3533 Southern Blvd
Ste 5800
Kettering, OH 45429
Phone (937) 439-3600

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

4000 Miamisburg Centerville Rd
#405
Miamisburg, OH 45342
Phone (937) 560-2011

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

4000 Miamisburg Centerville Rd
Ste 405
Miamisburg, OH 45342
Phone (937) 439-3600

4000 Miamisburg Centerville Rd
Ste 10
Miamisburg, OH 45342
Phone (937) 384-4820

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1033130885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933242",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930035",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5800",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-439-3600",
            "fax_number": "937-741-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8805",
            "fax_number": "937-395-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Miamisburg Centerville Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427615",
            "country_code": "US",
            "telephone_number": "937-439-3600",
            "fax_number": "937-741-8366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8805",
            "fax_number": "937-395-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3095 Dayton Xenia Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454344310",
            "country_code": "US",
            "telephone_number": "937-458-4010",
            "fax_number": "937-912-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HEMANT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35-065435",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35-065435",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35-65435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PTAN",
            "identifier": "110084173",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958629",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hshah195402@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.