NPIMap

Individual provider Active NPI

Hirenkumar N Shah, MD

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1093742801
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D51643 Issued in MD
Practice address
65 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4371
Phone
(301) 663-3836
Fax
(301) 663-0122
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D51643 MD Primary

Addresses

Primary practice location

65 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4371

Mailing address

65 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4371
Phone (301) 663-3836

Other identifiers 1

IdentifierTypeStateIssuer
K935397WOtherMDMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000309 MD Practitioner - Internal Medicine 4082617691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1 Frederick Health Way
Frederick, MD 21701-9435

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

2600 Compass Rd
Glenview, IL 60026-8001

65 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4371
Phone (301) 663-3836

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048
  • Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158
  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Homewood Living Frederick Nursing home, Frederick, MD, CCN 215245
  • Willowbrooke CT Skilled Care Buckingham'S Choice Nursing home, Adamstown, MD, CCN 215329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D51643MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Internal Medicine and Endocrinology Services, PA Internal Medicine CurrentSince Aug 3, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

65 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 663-3836

Interoperability endpoints

  • Direct secure messaging: hirenkumar.shah.1@24290.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24290/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 9

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1093742801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 THOMAS JOHNSON DR",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024371",
            "telephone_number": "301-663-3836",
            "fax_number": "301-663-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 THOMAS JOHNSON DR",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024371",
            "telephone_number": "301-663-3836",
            "fax_number": "301-663-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HIRENKUMAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D51643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "K935397W",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.