Individual provider Active NPI

Laxmi Shah, D.O

  • Clinical Neurophysiology Physician
  • Monroeville, PA
National Provider Identifier
1124337647
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
OS017143 Issued in PA
Practice address
3824 Northern Pike
Ste 300
Monroeville, PA 15146-2141
Phone
(412) 856-5335
Fax
(412) 856-7720
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS017143 PA
Clinical Neurophysiology Physician 2084N0600X OS017143 PA Primary

Addresses

Primary practice location

3824 Northern Pike
Ste 300
Monroeville, PA 15146-2141

Mailing address

3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laxmishah@pmapa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001355 PA Practitioner - Neurology 9537471230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Life Chiropractic College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians

Practice addresses (Care Compare)

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 858-7618

3824 Northern Pike
Monroeville, PA 15146-2141

3824 Northern Pike
Monroeville, PA 15146-2175

3824 Northern Pike
Suite 200
Monroeville, PA 15146-2173
Phone (412) 380-2800

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS017143PAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates PC Neurology CurrentSince Jul 20, 2015 Accepting new patients
Premier Medical Associates, PC CurrentSince Jul 20, 2015 Accepting new patients
Health Chiropractic PC PastSince Jul 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

6321 State Route 30
Ste 200
Greensburg, PA 15601
Phone (412) 373-6666

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

3824 Northern Pike
Ste 700
Monroeville, PA 15146
Phone (412) 457-0060

310 Rodi Rd
Ste 200
Pittsburgh, PA 15235
Phone (412) 244-5737

Interoperability endpoints

  • Direct secure messaging: lshah26174@direct.ahn.org

Organizations & group practices 4

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 3

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": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1124337647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-856-5335",
            "fax_number": "412-856-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "LAXMI",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS017143",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "OS017143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laxmishah@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6321 Route 30 Ste 200",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156019704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.