NPIMap

Individual provider Active NPI

Sandhya V Shah, MD

  • Internal Medicine Physician
  • Prairie Du Sac, WI
National Provider Identifier
1114921046
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30254 Issued in WI
Practice address
80 1St St
Prairie Du Sac, WI 53578-1550
Phone
(608) 643-3311
NPI assigned
Jun 9, 2005
Last updated
Oct 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 30254 WI Primary

Addresses

Primary practice location

80 1St St
Prairie Du Sac, WI 53578-1550

Mailing address

80 1St St
Prairie Du Sac, WI 53578-1550
Phone (608) 643-3311

Other identifiers 1

IdentifierTypeStateIssuer
31780900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20051026000298 WI Practitioner - Internal Medicine 2264459635 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30254WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Madison Inc CurrentSince Nov 23, 2019 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 26, 2019 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Feb 19, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 19, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 26, 2019 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Nov 24, 2008 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Sauk Prairie Healthcare, Inc. Internal Medicine CurrentSince Nov 24, 2008 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 19, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Fort Healthcare Inc CurrentSince Nov 1, 2010 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Oct 22, 2018 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Select Specialty Hospital - Madison Inc Internal Medicine CurrentSince Nov 23, 2019 Accepting new patients
Fort Healthcare, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Oct 22, 2018 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Gundersen Clinic LTD Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

80 1st St
Prairie du Sac, WI 53578
Phone (608) 643-3311

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sandhya.shah@direct.forthc.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1114921046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781550",
            "telephone_number": "608-643-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781550",
            "telephone_number": "608-643-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANDHYA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "30254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31780900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Sac, WI

Sources for this page

Verify at the official NPI Registry.