Individual provider Active NPI

Chirag Ashvin Shah, MD

  • Internal Medicine Physician
  • Middletown, OH
National Provider Identifier
1043274772
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-078612 Issued in OH
Practice address
6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone
(513) 874-0486
Fax
(513) 280-8868
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35-078612 OH
Internal Medicine Physician 207R00000X 35-078612 OH Primary

Addresses

Primary practice location

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017

Mailing address

PO Box 229
Miamisburg, OH 45343-0229
Phone (513) 874-0486

Other identifiers 5

IdentifierTypeStateIssuer
P1009946OtherOHRR MEDICARE
0154658MedicaidOH
7100188160MedicaidKY
P00388640OtherRR MEDICARE
200987690MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031124000390 OH Practitioner - Internal Medicine 8921902651 Reassigns benefits to 2 organizations
I20240522001004 PA Practitioner - Internal Medicine 8921902651
I20240527000111 FL Practitioner - Internal Medicine 8921902651

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.66 of 100Reported as group
Quality
47.87
Promoting interoperability
0
Improvement activities
40
Cost
70.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-078612OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Sep 7, 2023 Accepting new patients
Medicine Inpatient Group, LLC Internal Medicine CurrentSince May 15, 2010 Accepting new patients
Alliance Physicians Inc Internal Medicine Current Accepting new patients
Highland Hospitalist Services Medical Group Internal Medicine Past Accepting new patients
Southwest Inpatient Physicians, LLC Hospitalist PastSince Oct 26, 2009 Accepting new patients
Trihealth G LLC Internal Medicine Past Accepting new patients
Hospital Services Medical Group of Clark County Inc Internal Medicine Past Accepting new patients
Atrium Medical Center Past Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients

Locations

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

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

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

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

Interoperability endpoints

  • Direct secure messaging: chirag.shah.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: chirag.shah.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: cshah455227@direct.ketteringhealth.org

Organizations & group practices 9

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1043274772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453430229",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450050017",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHIRAG",
        "middle_name": "ASHVIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-078612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-078612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P1009946",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154658",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100188160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00388640",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200987690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.