Kruti Gitesh Shah, MBBS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Mountain View Regional Medical Cente
4351 E Lohman Avenue
Las Cruces, NM 88011

Phone

(575) 556-7600

NPI assigned

May 22, 2020

Reactivated

Feb 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1104449206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MOUNTAIN VIEW REGIONAL MEDICAL CENTE",
            "address_2": "4351 E LOHMAN AVENUE BUILDING 3, SUITE 300",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-556-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNTAIN VIEW REGIONAL MEDICAL CENTE",
            "address_2": "4351 E LOHMAN AVENUE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-556-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KRUTI",
        "middle_name": "GITESH",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-11",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Dawn Shaeffer, LPN
• Ussama Shafaqat, M.D
• Muhammad Nabeel Shafqat, M.D.
• Zahra Shaghaghi, PHARM-D
• Jay Shah
• Nehal Shaikh, MD
• Rahul Shamapanth, DDS
• Celina Shannon
• Shape Health, LLC
• Stephanie Casey Shapiro

• Student in an Organized Health Care Education/Training Program in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Student in an Organized Health Care Education/Training Program in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.