Active NPI
Padmakant M Shah, MD
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1033285648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 120709
- Practice address
- 140 Bellamy Loop
Bronx, NY 10475-3702 - Phone
- (718) 671-6600
- Fax
- (718) 671-6600
- NPI assigned
- Nov 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 120709 | NY | Primary |
Addresses
Primary practice location
140 Bellamy Loop
Bronx, NY 10475-3702
Mailing address
140 Bellamy Loop
Co Op City
Bronx, NY 10475-3702
Phone (718) 671-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00268364 | Medicaid | NY | |
| 0090942 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120709 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033285648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BELLAMY LOOP",
"address_2": "CO OP CITY",
"city": "BRONX",
"state": "NY",
"postal_code": "104753702",
"telephone_number": "718-671-6600",
"fax_number": "718-671-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BELLAMY LOOP",
"city": "BRONX",
"state": "NY",
"postal_code": "104753702",
"telephone_number": "718-671-6600",
"fax_number": "718-671-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PADMAKANT",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "120709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00268364",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0090942",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.