Active NPI
Shradha Shah, M.D.
- Emergency Medicine Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301086427
- Practice address
- 28050 Grand River Ave
Botsford Hospital Emergency Department
Farmington Hills, MI 48336-5919 - Phone
- (248) 471-8808
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301086427 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | A105142 | CA | |
| Emergency Medicine Physician | 207P00000X | 14572 | NH | |
| Emergency Medicine Physician | 207P00000X | 018427 | ME |
Addresses
Primary practice location
28050 Grand River Ave
Botsford Hospital Emergency Department
Farmington Hills, MI 48336-5919
Mailing address
4513 Riverchase
Troy, MI 48098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 California St
San Francisco, CA 94118-1506
55 2ND St
San Francisco, CA 94105-3491
Phone (415) 600-6990
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Quality
- 91.91
- Improvement activities
- 40
- Cost
- 79.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105142 | CA | MD | Emergency Medicine Physician |
| 018427 | ME | MD | Emergency Medicine Physician |
| 14572 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Sonoma Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| San Francisco Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Eden Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients | |
| Sonoma Valley Health Care District | Past | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Farmington Emergency Medicine Associates PLLC | Emergency Medicine | Past | Accepting new patients |
| County of Santa Clara | Past | Accepting new patients |
Locations
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
#1112
San Jose, CA 95128
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- sshah14541@alamedahs.direct-ci.com
- sshah183951@hisp.ehr.sutterhealth.org
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
Organizations & group practices 15
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Emergency Medicine Physician
- Castro Valley, CA
- NPI 1891786240
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1710164629
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Emergency Medicine
-
dba Sutter Pacific Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
- Emergency Medicine Physician
- Farmington Hills, MI
- NPI 1568496370
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1063691806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 RIVERCHASE",
"city": "TROY",
"state": "MI",
"postal_code": "48098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28050 GRAND RIVER AVE",
"address_2": "BOTSFORD HOSPITAL EMERGENCY DEPARTMENT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365919",
"telephone_number": "248-471-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHRADHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301086427",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A105142",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "14572",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "018427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.