Individual provider Active NPI

Sona K Shah, M.D.

  • Clinical Neurophysiology Physician
  • Omaha, NE
National Provider Identifier
1083667695
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
02403 Issued in WV
Practice address
6901 N 72ND St Ste 2400
Omaha, NE 68122-1709
Phone
(402) 717-0070
NPI assigned
May 18, 2006
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 02403 WV
Clinical Neurophysiology Physician 2084N0600X 02403 WV Primary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 02403 WV

Addresses

Primary practice location

6901 N 72ND St Ste 2400
Omaha, NE 68122-1709

Mailing address

6901 N 72ND St Ste 2400
Omaha, NE 68122-1709
Phone (304) 250-9102

Other practice location 1

1600 Medical Center Drive
Suite B500
Huntington, WV 25701-3656
Phone (304) 691-1787

Other identifiers 3

IdentifierTypeStateIssuer
03796OtherBLUE CROSS
10025588700MedicaidNE
3870024324MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WV, OH, IA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20060613000254 NE Practitioner - Neurology 6507878477 Reassigns benefits to 1 organization
I20121205000002 WV Practitioner - Neurology 6507878477
I20190522001051 OH Practitioner - Neurology 6507878477 Reassigns benefits to 1 organization
I20200819001913 IA Practitioner - Neurology 6507878477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

6901 N 72ND St
Suite 2400
Omaha, NE 68122-1709
Phone (402) 717-0070

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02403WVMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince May 13, 2019 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Sep 1, 2019 Accepting new patients
Somc Medical Care Foundation, Inc. Neurology CurrentSince May 13, 2019 Accepting new patients
Alegent Creighton Clinic CurrentSince Jun 1, 2020 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 18, 2020 Accepting new patients
North Platte Nebraska Physician Group LLC Neurology Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

6901 N 72nd St
Ste 2400
Omaha, NE 68122
Phone (402) 658-1391

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

2420 Jefferson Ave
Pt Pleasant, WV 25550
Phone (304) 675-6090

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Organizations & group practices 6

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 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1083667695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST STE 2400",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "304-250-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST STE 2400",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-717-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Medical Center Drive",
            "address_2": "Suite B500",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013656",
            "country_code": "US",
            "telephone_number": "304-691-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SONA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "02403",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WV",
            "license": "02403",
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "WV",
            "license": "02403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03796",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025588700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870024324",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.