Individual provider Active NPI

Mushtaq Shah, M.D.

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1043396633
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0021843 Issued in MD
Practice address
7227 Hanover Pkwy Ste a
Greenbelt, MD 20770-2025
Phone
(301) 220-0606
Fax
(301) 513-9049
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0021843 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 1

IdentifierTypeStateIssuer
794011400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040712000466 DC Practitioner - Gastroenterology 0446154165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7227 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy143
Upper gastrointestinal (GI) endoscopy for acid reflux54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mushtaq a Shah MD PA Gastroenterology CurrentSince Nov 2, 1981 Accepting new patients
Greenbelt Anesthesia Associates, LLC Current Accepting new patients
Chesapeake Urology Associates LLC Past Accepting new patients

Locations

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

9821 Greenbelt Rd
Ste 104
Lanham, MD 20706
Phone (301) 202-8392

2415 Musgrove Rd
Ste 109
Silver Spring, MD 20904
Phone (301) 384-5700

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1043396633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 HANOVER PKWY 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 STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702025",
            "telephone_number": "301-220-0606",
            "fax_number": "301-513-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MUSHTAQ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0021843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794011400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.