Shah and Associates Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHAH AND ASSOCIATES FAMILY PRACTICE

Practice address

431 Keisler Dr Ste 100
Cary, NC 27518-7064

Phone

(919) 468-6820

Fax

(919) 468-6484

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Dipen R. Shah, M.D.NPI 1750333993

Title

President

Phone

(919) 468-6820

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Schmidt and Catchings3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Schmidt and Catchings

  dba Center for Medical Weight Loss

  • Family Medicine Physician
  • Cary, NC
  • NPI 1912231317
  NPD tax ID
• Schmidt and Catchings Family Practice

  • Non-Pharmacy Dispensing Site
  • Cary, NC
  • NPI 1356575047
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipen R Shah, MD

  • Family Medicine Physician
  • Cary, NC
  • NPI 1750333993
  Medicare reassignment NPD Authorized official
• Mary Beth Lipscomb, NP

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1932866407
  Medicare reassignment NPD
• Jennifer C Wilkins, FNP

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1255438081
  Medicare reassignment NPD
• Sydnee Micae Revels, FNP-C

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1518672799
  NPD
• Jetal Shukla, NP

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1467854224
  NPD
• Eric Ashworth Hodges, PHD, FNP-BC

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1295983542
  NPD (past)
• Sandra Grace Krissinger, PA-C

  • Medical Physician Assistant
  • Cary, NC
  • NPI 1659035756
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1093737173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187064",
            "telephone_number": "919-468-6820",
            "fax_number": "919-468-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187064",
            "telephone_number": "919-468-6820",
            "fax_number": "919-468-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH AND ASSOCIATES FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-468-6820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "200000306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126ET",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjail Shaabzz
• Tracy Shabu
• Jeffrey Scott Shaeffer, LPCA
• Elizabeth N Shaffer, MD
• Jolie Shafik, BCBA
• Bhavna Shah, DDS
• Dhirenkumar Navnitlal Shah, MD
• Dipen R Shah, MD
• Jasmine Shah, OTR/L
• Jiger Shah, D.D.S

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.