Individual provider Active NPI

Smita S Shah, MD

  • Gastroenterology Physician
  • Huntsville, AL
National Provider Identifier
1063454817
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
19024 Issued in AL
Practice address
4601 Whitesburg Dr SE Ste 101
Huntsville, AL 35802-1677
Phone
(256) 882-7888
Fax
(256) 882-7886
NPI assigned
Jun 12, 2006
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 19024 AL Primary

Addresses

Primary practice location

4601 Whitesburg Dr SE Ste 101
Huntsville, AL 35802-1677

Mailing address

4601 Whitesburg Dr SE Ste 101
Huntsville, AL 35802-1677
Phone (256) 882-7888

Other identifiers 1

IdentifierTypeStateIssuer
000079381MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110727000120 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 4981660578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians
HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 882-3100

4810 Whitesport Cir SW
Huntsville, AL 35801-7420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19024ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Physician Services, LLC CurrentSince Feb 1, 2024 Accepting new patients
Alabama Digestive Disorders Center, PC Gastroenterology CurrentSince Oct 27, 1997 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

4601 Whitesburg Dr SE
Ste 101
Huntsville, AL 35802
Phone (256) 763-0628

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJJAA/Endpoint/GCJJAA

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 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1063454817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021677",
            "telephone_number": "256-882-7888",
            "fax_number": "256-882-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021677",
            "telephone_number": "256-882-7888",
            "fax_number": "256-882-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SMITA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "19024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079381",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.