NPIMap

Individual provider Active NPI

Mayank Kantilal Shah, M.D.

  • Cardiovascular Disease Physician
  • Marion, OH
National Provider Identifier
1104894864
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-063565 Issued in OH
Practice address
278 Barks Rd W
Marion, OH 43302-7367
Phone
(740) 383-7980
Fax
(740) 383-3040
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-063565 OH Primary

Addresses

Primary practice location

278 Barks Rd W
Marion, OH 43302-7367

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other identifiers 1

IdentifierTypeStateIssuer
0889463MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshah109311@direct.ohiohealth.com Marion Area Physicians LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090319000509 OH Practitioner - Cardiovascular Disease (Cardiology) 9830256700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians

Practice addresses (Care Compare)

1051 Harding Memorial Pkwy
Suite a
Marion, OH 43302-6347
Phone (740) 382-6900

Hospital & facility affiliations

  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Hardin Memorial Hospital Hospital, Kenton, OH, CCN 361315
  • Ohiohealth Morrow County Hospital Hospital, Mount Gilead, OH, CCN 361313
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-063565OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Jan 1, 2019 Accepting new patients
Marion Independent Physicians Association, LLC Cardiovascular Disease PastSince Jul 4, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1051 Harding Memorial Pkwy
Ste A
Marion, OH 43302
Phone (740) 382-6900

278 Barks Rd W
Marion, OH 43302
Phone (740) 383-7080

Organizations & group practices 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1104894864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BARKS RD W",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027367",
            "telephone_number": "740-383-7980",
            "fax_number": "740-383-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAYANK",
        "middle_name": "KANTILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-063565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0889463",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshah109311@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Marion Area Physicians LLC",
            "address_1": "278 Barks Rd W",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433027367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.