Individual provider Active NPI

Amy Gulab Shah, MD

  • Gastroenterology Physician
  • Chevy Chase, MD
National Provider Identifier
1093923757
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101244348 Issued in VA
Practice address
5550 Friendship Blvd
Suite T-90
Chevy Chase, MD 20815-7256
Phone
(240) 737-0085
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101244348 VA Primary

Addresses

Primary practice location

5550 Friendship Blvd
Suite T-90
Chevy Chase, MD 20815-7256

Mailing address

12510 Prosperity Dr
Suite 200
Silver Spring, MD 20904-1663
Phone (240) 485-5200

Other identifiers 1

IdentifierTypeStateIssuer
1093923757MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120817000149 DC Practitioner - Gastroenterology 3476709650 Reassigns benefits to 2 organizations
I20240124003983 MD Practitioner - Gastroenterology 3476709650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Western Maryland Health Services LLCGroup PAC ID 7113396011, 162 clinicians
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-6000

5550 Friendship Blvd
T90
Chevy Chase, MD 20815-7313
Phone (240) 737-0080

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy104
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care LLC Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Gastroenterology Associates of Northern Virginia, LLC Gastroenterology CurrentSince Oct 8, 2012 Accepting new patients
Upmc Western Maryland Health Services, LLC Gastroenterology CurrentSince Jan 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
David a. Morowitz Gastroenterology Past Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients
Capital Digestive Care ,LLC Gastroenterology Past Accepting new patients
First Class Anesthesia, LLC Past Accepting new patients

Locations

2021 K St NW
Ste 500
Washington, DC 20006
Phone (202) 463-7611

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

2000 Pennsylvania Ave NW
Ste 3020
Washington, DC 20006
Phone (202) 478-4540

5550 Friendship Blvd
Ste T100
Chevy Chase, MD 20815
Phone (240) 531-2832

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

7700 Old Branch Ave
Ste A102
Clinton, MD 20735
Phone (202) 558-0504

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

6100 Executive Blvd
Ste 301
Rockville, MD 20852

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

Interoperability endpoints

  • Direct secure messaging: amy.shah.capitaldigestivecare@directaddress.net

Organizations & group practices 12

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 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1093923757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "240-485-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD",
            "address_2": "SUITE T-90",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "240-737-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMY",
        "middle_name": "GULAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101244348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093923757",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.