Active NPI
Rajan V. Shah, MD
- Internal Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.136013
- Practice address
- 199 Scott St FL 8
Buffalo, NY 14204-2208 - Phone
- (917) 261-4414
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U6897 | TX | |
| Internal Medicine Physician | 207R00000X | 036.136013 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 318467 | NY | |
| Internal Medicine Physician | 207R00000X | D98635 | MD | |
| Internal Medicine Physician | 207R00000X | C188638 | CA |
Addresses
Primary practice location
199 Scott St FL 8
Buffalo, NY 14204-2208
Mailing address
199 Scott St FL 8
Buffalo, NY 14204-2208
Phone (917) 261-4414
Other practice location 1
1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- 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
- Internal Medicine
- Education
- Chicago College of Medicine and Surgery, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C188638 | CA | MD | Internal Medicine Physician |
| 036.136013 | IL | MD | Internal Medicine Physician |
| D98635 | MD | MD | Internal Medicine Physician |
| 318467 | NY | MD | Internal Medicine Physician |
| U6897 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Eden Health Medical of Il LTD | Internal Medicine | Past | Accepting new patients |
| Eden Health Medical PC | Internal Medicine | Past | Accepting new patients |
Locations
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
Interoperability endpoints
- rajan.shah.2@15349.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.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
- Internal Medicine Physician
- New York, NY
- NPI 1811436157
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1083297469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1063707073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 SCOTT ST FL 8",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142042208",
"telephone_number": "917-261-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 SCOTT ST FL 8",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142042208",
"telephone_number": "917-261-4414"
}
],
"practiceLocations": [
{
"address_1": "1110 N Virgil Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900292016",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "RAJAN",
"middle_name": "V.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U6897",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.136013",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "318467",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D98635",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C188638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.