Kartik H Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

KS039208 Issued in MI

Practice address

3022 Dix Hwy
Lincoln Park, MI 48146-2591

Phone

(313) 381-5674

Fax

(313) 381-7224

NPI assigned

May 10, 2006

Last updated

Jul 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kartik.shah.1@5088.direct.athenahealth.com

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.

• Health One Medical Center

  • Family Medicine Physician
  • Lincoln Park, MI
  • NPI 1316997422

  Internal Medicine

  NPD
• Rochester Hills Health Services

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1588799100
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1093765380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481920339",
            "telephone_number": "313-381-5674",
            "fax_number": "313-381-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462591",
            "telephone_number": "313-381-5674",
            "fax_number": "313-381-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KARTIK",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "KS039208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3275113",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul George Sciole, LLMSW
• Hassan Sebai
• Senior Home Care Connections LLC
• Robert C Seski, MD
• Katherine Shackleford, D.D.S
• Shashi K Malik, MD, PC
• Margaret Sheehan
• Hassan M Shehadi, PHARMD
• Hannah Jane Sheppard
• Stephanie Ann Sinuk, RN, BSN

• Internal Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.