Individual provider Active NPI

Urvish K Shah, MD

  • Gastroenterology Physician
  • Lansing, MI
National Provider Identifier
1033286554
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301050878 Issued in MI
Practice address
3937 Patient Care Drive
Suite 106
Lansing, MI 48911
Phone
(517) 485-2317
Fax
(517) 485-1490
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301050878 MI Primary

Addresses

Primary practice location

3937 Patient Care Drive
Suite 106
Lansing, MI 48911

Mailing address

3937 Patient Care Drive
Suite 106
Lansing, MI 48911
Phone (517) 485-2317

Other identifiers 1

IdentifierTypeStateIssuer
4182251MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050719000481 MI Practitioner - Gastroenterology 5294704284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

215 E Mansion St
Marshall, MI 49068-1559

Hospital & facility affiliations

  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
93.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Gastroenterology CurrentSince Dec 1, 2016 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Dec 1, 2016 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Urvish K Shah, MD PC Gastroenterology PastSince Aug 1, 1999 Accepting new patients

Locations

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

215 E Mansion St
Ste 3A
Marshall, MI 49068
Phone (269) 781-2658

Interoperability endpoints

  • Direct secure messaging: urvish.shah.1@9698.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1033286554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DRIVE",
            "address_2": "SUITE 106",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-485-2317",
            "fax_number": "517-485-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DRIVE",
            "address_2": "SUITE 106",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-485-2317",
            "fax_number": "517-485-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "URVISH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301050878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4182251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.